DEAN CHANG MD (Credential# 161565) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DEAN CHANG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0022516. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 2200 Whitney Ave Suite 360, Hamden, CT 06518. The current status is active.
Licensee Name | DEAN CHANG MD |
Credential ID | 161565 |
Credential Number | CSP.0022516 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
2200 Whitney Ave Suite 360 Hamden CT 06518 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1999-03-10 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
551642 | 1.034043 | Physician/Surgeon | 1994-09-09 | 2020-02-01 - 2021-01-31 | ACTIVE |
Street Address | 2200 WHITNEY AVE SUITE 360 |
City | HAMDEN |
State | CT |
Zip Code | 06518 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David J Hass Md | 2200 Whitney Ave Suite 360, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Philip E Jaffe Md | 2200 Whitney Ave Suite 360, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Scott Hande Md | 2200 Whitney Ave Suite 360, Hamden, CT 06518 | Physician/surgeon | 2006-12-21 ~ 2008-02-29 |
Sarah M. Coppolino | 2200 Whitney Ave Suite 360, Hamden, CT 06518 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Find all Licenses in zip 06518 |
City | HAMDEN |
Zip Code | 06518 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HAMDEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Chang Na | 925 Mix Ave Apt 1p, Hamden, CT 06514-5119 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Chang B Son | 78 Olive St #210, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Suk C Chang Md | 214 Amity Rd, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Chang Soo Kim | 35 Deacons Way, New Canaan, CT 06840-4221 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Lin-yu D Chang | 15 Perry Ave Apt D10, Norwalk, CT 06850-1653 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Zenas Chang | 199 Foxboro Dr., Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Soo Jin Chang | 327 Old Bridge Ln Unit 327, Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 2013-01-08 ~ 2015-02-28 |
Mina Chang | 64 Robbins St, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Jason L Chang Md | 55 Meriden Ave Ste 1a, Southington, CT 06489-3237 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Constance T Chang | 22 Fisher St, Providence, RI 02906-2626 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).