VIVIAN G. NG (Credential# 1055907) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
VIVIAN G. NG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050891. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 24629 52nd Ave, Douglaston, NY 11362-1605. The current status is active.
Licensee Name | VIVIAN G. NG |
Credential ID | 1055907 |
Credential Number | 1.050891 |
Credential Type | Physician/Surgeon |
Business Address |
24629 52nd Ave Douglaston NY 11362-1605 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2012-05-03 |
Effective Date | 2020-09-01 |
Expiration Date | 2021-08-31 |
Refresh Date | 2020-06-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1269853 | CSP.0059625 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
1085298 | CSP.0053313 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-08-16 | 2012-08-16 - 2013-02-28 | INACTIVE |
Street Address | 24629 52ND AVE |
City | DOUGLASTON |
State | NY |
Zip Code | 11362-1605 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeong E Lee | 6707 242nd St Unit 23b, Douglaston, NY 11362 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Hyun Jung Kwon | 69-17 Douglaston Pkwy, Little Neck, NY 11362 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Joo Ryun Ko | 53-28 Marathon Pkwy., Little Neck, NY 11362 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Hee J Cho | 246-11 51st Ave, Douglaston, NY 11362 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Kwiyup Kim | 240-27 69th Ave #2, Flushing, CT 11362 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Jin Ni | 5444 Little Neck Pkwy, Little Neck, NY 11362 | Nail Technician | ~ |
Miguel Valcarcel | 256-43 Grand Central Pkwy, Little Neck, NY 11362 | Architect | 2018-12-11 ~ 2019-07-31 |
Il Soo Han | 63-81 Douglaston Parkway, Douglaston, NY 11362 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
Jaewook Kwon | 6019 251st Street, Little Neck, NY 11362 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Jennifer Wolfman | 47-33 245th St, Douglaston, NY 11362 | Physician Assistant | ~ |
Find all Licenses in zip 11362 |
City | DOUGLASTON |
Zip Code | 11362 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + DOUGLASTON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vivian Hoang | 336 22nd Ave N, Nashville, TN 37203-1844 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Vivian P Tsuei Md | 1062 Barnes Rd Ste 102, Wallingford, CT 06492-2576 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Vivian Sone | 15 Crystal Spring Rd, Chappaqua, NY 10514-1412 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Vivian Faywen Tom | 524 Broadway, 11th Floor, New York, NY 10012 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Vivian Giudice | 5508 Avenida Cuesta Ne, Albuquerque, NM 87111-6721 | Physician/surgeon | ~ 1991-10-31 |
Vivian Tuong-vi Mai-tran | 276 Crown Street, New Haven, CT 06511 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Vivian L Ripin Md | 8906 68th Ave, Forest Hills, NY 11375-5720 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
Vivian L Weinberger Do | 25 Mackinnon Place, East Lyme, CT 06333 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Vivian Gahtan Md · Yale School of Medicine | Yale School of Med Sec of Vascular Surgery, New Haven, CT 06520 | Physician/surgeon | 2003-01-27 ~ 2004-03-31 |
Vivian Wiater | 333 Cedar St, New Haven, CT 06510-3206 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
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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).