CHIA-CHI WANG (Credential# 1358695) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
CHIA-CHI WANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055725-DO. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 540 Saybrook Road, Middletown, CT 06457-3654. The current status is active.
| Licensee Name | CHIA-CHI WANG |
| Credential ID | 1358695 |
| Credential Number | 1.055725-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
540 Saybrook Road Middletown CT 06457-3654 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-09-12 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1368479 | CSP.0063633 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-09-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 540 Saybrook Road |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3654 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph J Robles | 540 Saybrook Road, Middletown, CT 06457 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Fred S Siegel | 540 Saybrook Road, Middletown, CT 06457 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kort C Knudson Md | 540 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kenneth L Eckhart Md | 540 Saybrook Road, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Its Kids | 540 Saybrook Road, Middletown, CT 06457 | Child Care Center | 2000-01-05 ~ 2001-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Middlesex Hospital | 28 Crescent St Dept Of, Middletown, CT 06457-3654 | Licensed Ems Organization | 2020-01-01 ~ 2020-12-31 |
| William H Zeidler Jr Md | 28 Crescent St, Middletown, CT 06457-3654 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kristine Doyle | 28 Crescent St, Middletown, CT 06457-3654 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Amy Marie Douglass | 28 Crescent St, Middletown, CT 06457-3654 | Controlled Substance Registration for Practitioner | 2019-06-07 ~ 2021-02-28 |
| Ying Zheng Pa | 28 Crescent St, Middletown, CT 06457-3654 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cathy Zack | 28 Crescent St, Middletown, CT 06457-3654 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jonathan H Hall | Department of Emergency Medicine, Middletown, CT 06457-3654 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Laura V Pittari | 28 Crescent St, Middletown, CT 06457-3654 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Middlesex Hospital | 28 Crescent St, Middletown, CT 06457-3654 | General Hospital | 2019-01-01 ~ 2020-12-31 |
| Mary Caryl Goff · Schiess | 28 Crescent St, Middletown, CT 06457-3654 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 06457-3654 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Asher S Wang · Xinsheng Wang | 41 Brewster Road, Bristol, CT 06010 | Physician/surgeon | 2012-06-14 ~ 2013-10-31 |
| Chia-yi Chin Jwu Ent Co Ltd | 3 Ding Shi Shin Lun Man Tsun, Chia Yi Hsien Taiwan China | Manufacturer of Bedding & Upholstered Furniture | 2006-05-01 ~ 2007-04-30 |
| Christopher Chia | 128 Central Park So, New York, NY 10019 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Hao Wang Md | 133 Brookline Ave, Boston, MA 02215-3904 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Guixiang Wang | 40-19 172nd St, Flushing, NY 11358-2723 | Physician/surgeon | ~ |
| Jen Min Wang | 6647 Armitos Dr, Camarillo, CA 93012 | Physician/surgeon | ~ |
| Changzheng Wang | 4 Hickory Ln, Warren, NJ 07059-2602 | Physician/surgeon | ~ |
| Wen Ao Dana Wang | 350 W 42nd St Apt 58d, New York, NY 10036-6964 | Physician/surgeon | 2016-08-17 ~ 2017-02-28 |
| Chen Wang | 131 Rieser Cir, Naperville, IL 60565-2033 | Physician/surgeon | 2011-02-10 ~ 2011-09-30 |
| Sa Wang | 3 Belknap Street, Westborough, MA 01581 | Physician/surgeon | 2007-10-05 ~ 2008-11-30 |
Please comment or provide details below to improve the information on CHIA-CHI WANG.
| 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).