SHUE W WONG MD (Credential# 151220) 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.
SHUE W WONG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0009810. 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 120 Boy St, Bristol, CT 06010. The current status is inactive.
| Licensee Name | SHUE W WONG MD |
| Credential ID | 151220 |
| Credential Number | CSP.0009810 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
120 Boy St Bristol CT 06010 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 541623 | 1.015766 | Physician/Surgeon | 1972-09-18 | 2011-11-01 - 2012-10-31 | INACTIVE |
| Street Address | 120 BOY ST |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRISTOL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ann Shue | 1420 Centre Ave Apt 607, Pittsburgh, PA 15219-3520 | Controlled Substance Registration for Practitioner | 2017-05-23 ~ 2019-02-28 |
| Bing Shue | 55 South Road, Farmington, CT 06032-2022 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Megan Fritton Shue | 400 Saybrook Rd Ste 110, Middletown, CT 06457-4774 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chi H Wong | 88 Curtis Dr, New Haven, CT 06515-2342 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Stephen K Wong | New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| So C Wong | Suite C, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kin Cho Wong | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kim Kit Yeng Wong | 110 Theodore Fremd Ave Apt B8, Rye, NY 10580-2874 | Controlled Substance Registration for Practitioner | 2019-10-16 ~ 2021-02-28 |
| Lauren E Wong | 900 Chapel St Apt 504, New Haven, CT 06510-2817 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Ellice Y Wong Md | 21 Orchard Ct, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on SHUE W WONG MD.
| 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).