JAMES H CHUNG MD
Controlled Substance Registration for Practitioner


Address: 10 Deepwood Rd, Woodbridge, CT 06525

JAMES H CHUNG MD (Credential# 150916) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

JAMES H CHUNG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0010193. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 10 Deepwood Rd, Woodbridge, CT 06525. The current status is inactive.

Basic Information

Licensee Name JAMES H CHUNG MD
Credential ID 150916
Credential Number CSP.0010193
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 10 Deepwood Rd
Woodbridge
CT 06525
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
544217 1.022636 Physician/Surgeon 1981-03-17 2011-01-01 - 2011-12-31 INACTIVE

Office Location

Street Address 10 DEEPWOOD RD
City WOODBRIDGE
State CT
Zip Code 06525

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Competitor

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City WOODBRIDGE
Zip Code 06525
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODBRIDGE

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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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