DAVID J CHEN (Credential# 1618828) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 6, 2018. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DAVID J CHEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069953. The credential type is controlled substance registration for practitioner. The effective date is December 6, 2018. The expiration date is February 28, 2021. The business address is 50 Gaylord Farm Rd, Wallingford, CT 06492-2828. The current status is active.
| Licensee Name | DAVID J CHEN |
| Credential ID | 1618828 |
| Credential Number | CSP.0069953 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
50 Gaylord Farm Rd Wallingford CT 06492-2828 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-12-06 |
| Effective Date | 2018-12-06 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1280326 | 1.054645 | Physician/Surgeon | 2015-10-01 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 50 GAYLORD FARM RD |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-2828 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan C Woodhouse | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Ogechukwu Kingsley Egini | 50 Gaylord Farm Rd, Wallingford, CT 06492 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Gaylord Hospital | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Gaylord Hospital | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Chronic Disease Hospital | 2018-04-01 ~ 2020-03-31 |
| Lokesh Mahendrakar | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Alexandru C Dinu | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David W Chen | 8 Talcott Forest Rd Apt N, Farmington, CT 06032-3573 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Chen Chen | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ruo Zhu Chen Pa | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Walter M Chen Dds | Po Box 223, Montrose, NY 10548-0223 | Controlled Substance Registration for Practitioner | 2010-04-15 ~ 2011-02-28 |
| Amy Y Chen | 1 Willowbrook Rd Ste 2, Cromwell, CT 06416-1745 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Wei Chen | 64 Robbins St, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lei Chen Md | 48 Woodruff Dr, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sardius Chen | 34 Maple St, Norwalk, CT 06850-3815 | Controlled Substance Registration for Practitioner | 2015-09-16 ~ 2017-02-28 |
| Yun-wen Chen | 11 Talcott Forest Rd Apt F, Farmington, CT 06032-3574 | Controlled Substance Registration for Practitioner | 2011-07-25 ~ 2013-02-28 |
| Bo Chen | 340 Riverside Drive, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on DAVID J CHEN.
| 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).