GRACE CHANG (Credential# 1028857) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 5, 1984. The license expiration date date is February 29, 1992. The license status is INACTIVE.
GRACE CHANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025696. The credential type is physician/surgeon. The effective date is July 5, 1984. The expiration date is February 29, 1992. The business address is 17 Hillhouse Ave, New Haven, CT 06511-8965. The current status is inactive.
| Licensee Name | GRACE CHANG |
| Credential ID | 1028857 |
| Credential Number | 1.025696 |
| Credential Type | Physician/Surgeon |
| Business Address |
17 Hillhouse Ave New Haven CT 06511-8965 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1984-07-05 |
| Effective Date | 1984-07-05 |
| Expiration Date | 1992-02-29 |
| Refresh Date | 2011-08-12 |
| Street Address | 17 HILLHOUSE AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-8965 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lindsay M Huston Md | 17 Hillhouse Ave, New Haven, CT 06511-8965 | Physician/surgeon | 2012-09-01 ~ 2013-08-31 |
| Carol L Morrison | 17 Hillhouse Ave, New Haven, CT 06520 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Barry Goldberg Md | 17 Hillhouse Ave, New Haven, CT 06520 | Physician/surgeon | 2006-11-03 ~ 2007-12-31 |
| Mary S Webb | 17 Hillhouse Ave, New Haven, CT 06520 | Physician/surgeon | 1982-07-06 ~ 1989-11-30 |
| Harvey M Lederman | 17 Hillhouse Ave, New Haven, CT 06511-8965 | Physician/surgeon | 1982-06-18 ~ 1987-05-30 |
| Valerie A Omicioli | 17 Hillhouse Ave, New Haven, CT 06500 | Physician/surgeon | 1984-06-04 ~ 1986-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas A Christakis | 17 Hillhouse Ave Ste 393a, New Haven, CT 06511-8965 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chang R. Na | 925 Mix Ave Apt 1p, Hamden, CT 06514-5119 | Physician/surgeon | 2013-03-01 ~ 2014-02-28 |
| Yu C Chang | 209-42 30th Ave., Bayside, NY 11360-2419 | Physician/surgeon | 2006-07-12 ~ 2007-08-31 |
| Sandy Chang | Madison, CT 06443 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Tina Yin Chang | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robert Y Chang Md | 35 Elm St, New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Winshih Chang | 664 Stoneleigh Ave Ste 300, Carmel, NY 10512-3990 | Physician/surgeon | 2016-11-09 ~ 2017-08-31 |
| Chunghun Chang | 2 Doris Dr, Scarsdale, NY 10583-2712 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| Stanley Chang | 79 Greenacres Ave, Scarsdale, NY 10583 | Physician/surgeon | 2003-09-22 ~ 2004-09-30 |
| Joann C Chang | 4 Liberty Sq, Littleton, MA 01460-2002 | Physician/surgeon | 2018-12-01 ~ 2019-11-30 |
| Effie C Chang | 282 Karen Dr, Orange, CT 06477-2936 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).