JIAN LIANG PANG
Controlled Substance Registration for Practitioner


Address: 114 Sagamore Ln, Peachtree City, GA 30269-3258

JIAN LIANG PANG (Credential# 1435059) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 4, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

JIAN LIANG PANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066113. The credential type is controlled substance registration for practitioner. The effective date is August 4, 2017. The expiration date is February 28, 2019. The business address is 114 Sagamore Ln, Peachtree City, GA 30269-3258. The current status is lapsed.

Basic Information

Licensee Name JIAN LIANG PANG
Credential ID 1435059
Credential Number CSP.0066113
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 114 Sagamore Ln
Peachtree City
GA 30269-3258
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2017-08-04
Effective Date 2017-08-04
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1434999 1.056835 Physician/Surgeon 2017-08-03 2017-08-03 - 2018-02-28 INACTIVE
1064616 CSP.0052220 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2012-05-08 2015-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 114 SAGAMORE LN
City PEACHTREE CITY
State GA
Zip Code 30269-3258

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Competitor

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City PEACHTREE CITY
Zip Code 30269
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PEACHTREE CITY

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Dataset Information

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).

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