JONATHAN CHANG (Credential# 1488393) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2022. The license status is ACTIVE.
JONATHAN CHANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057788-RES. The credential type is resident physician. The effective date is July 1, 2017. The expiration date is June 30, 2022. The business address is 939 S Fircroft St, West Covina, CA 91791-3305. The current status is active.
| Licensee Name | JONATHAN CHANG |
| Credential ID | 1488393 |
| Credential Number | 1.057788-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
939 S Fircroft St West Covina CA 91791-3305 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2017-07-01 |
| Expiration Date | 2022-06-30 |
| Refresh Date | 2018-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1425097 | CSP.0065492 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-05-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 939 S FIRCROFT ST |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91791-3305 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jared Allen Blechman Preschool | 3508 E. Temple Way, West Covina, CA 91791 | Public Charity-exempt From Financial Requirements | ~ |
| Melody Z Gallardo | 224 So. Azusa Ave., West Covina, CA 91791 | Respiratory Care Practitioner | 2002-04-26 ~ 2002-08-31 |
| Anthony K Hui | 2825 E Hillside Dr, West Covina, CA 91791-3764 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Sophia Chavira | 1908 E Calico Dr, West Covina, CA 91791-4164 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rafik R Gerges | 1906 W Garvey Ave S, West Covina, CA 91790 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Rizza Samson | 230 South Bandy Ave, West Covina, CA 91790 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Imelda Gallegos | 1505 Sheffield Ave, West Covina, CA 91790-4833 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Teresita Diabordo | 224 S Bandy Ave Apt 1, West Covina, CA 91790 | Registered Nurse | 2008-01-29 ~ 2008-10-31 |
| City | WEST COVINA |
| Zip Code | 91791 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + WEST COVINA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason Chang | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
| Eric Chang | 15 York St, New Haven, CT 06510-3221 | Resident Physician | 2016-06-27 ~ 2020-06-30 |
| Yandy Chang | 3010 3rd St W, Lehigh Acres, FL 33971-1936 | Resident Physician | 2018-06-25 ~ 2021-06-30 |
| Mariana Chang | One Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Eric Chang | 20 York Street, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Sunny Chang | 4967 Torero Rd, Santa Barbara, CA 93111-1925 | Resident Physician | 2018-07-05 ~ 2021-06-30 |
| Charles Chang | 8460 Via Mallorca Unit 237, La Jolla, CA 92037-2646 | Resident Physician | 2015-08-01 ~ 2020-06-30 |
| Jonathan Ohm | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Jonathan Cui | 111 Park St Apt 14u, New Haven, CT 06511-5464 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jonathan M Hanna | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
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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).