CAN WANG (Credential# 1503059) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 25, 2018. The license expiration date date is June 30, 2021. The license status is ACTIVE.
CAN WANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060219-RES. The credential type is resident physician. The effective date is June 25, 2018. The expiration date is June 30, 2021. The business address is 1111 Stratford Ave Apt 220, Stratford, CT 06615-6376. The current status is active.
| Licensee Name | CAN WANG |
| Credential ID | 1503059 |
| Credential Number | 1.060219-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
1111 Stratford Ave Apt 220 Stratford CT 06615-6376 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-25 |
| Effective Date | 2018-06-25 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2018-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1525998 | CSP.0068797 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-07-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1111 STRATFORD AVE APT 220 |
| City | STRATFORD |
| State | CT |
| Zip Code | 06615-6376 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grace Kunjukunju | 1111 Stratford Ave Apt 223, Stratford, CT 06615-6376 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Asena Derohannesian | 1111 Stratford Ave Apt 224, Stratford, CT 06615-6376 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarath Koun | 323 Bruce Ave, Stratford, CT 06615 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
| Constance Trenske | 50 Birdseye Street, #105a, Stratford, CT 06615 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jennifer Massey | 187 Third Ave, Stratford, CT 06615 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Regina M Golden | 295 2nd Ave, Stratford, CT 06615 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Susan R Leventhal | 265 Second Ave, Stratford, CT 06615 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Danielle M Donfrancesco | 90 Sands Pl, Stratford, CT 06615 | Esthetician | ~ |
| James A Phillips | 735 Broad Street, Stratford, CT 06615 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Debra J Cennamo | 155 Short Beach Rd, Stratford, CT 06615 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Melissa Andrea Escobar-avilez | [email protected], Stratford, CT 06615 | Licensed Practical Nurse | ~ |
| Stephanie Gabon | 1168 Main Street, C6, Stratford, CT 06615 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06615 | |||
| City | STRATFORD |
| Zip Code | 06615 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + STRATFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Xi Wang | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-24 ~ 2021-06-30 |
| Yifan Wang | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Yanting Wang | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Rui Wang | 5 Constitution Plaza, Apt 311, Hartford, CT 06103 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Patricia Y Wang | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Wendy M Wang | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Kedong Wang | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Yuyao Wang | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
| Jake X Wang | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Yanbin Wang | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2020-06-29 ~ 2021-06-28 |
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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).