MATTHEW HARRY WONG (Credential# 1619159) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
MATTHEW HARRY WONG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062376. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is Medical Center Boulevard, Winston Salem, NC 27157-0001. The current status is active.
| Licensee Name | MATTHEW HARRY WONG |
| Credential ID | 1619159 |
| Credential Number | 1.062376 |
| Credential Type | Physician/Surgeon |
| Business Address |
Medical Center Boulevard Winston Salem NC 27157-0001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-02-22 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-08-20 |
| Street Address | MEDICAL CENTER BOULEVARD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27157-0001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wake Forest University Baptist Medical Center · Wake Forest Baptist Health, Wake Forest Baptist Medical Center | Medical Center Boulevard, Winston Salem, NC 27157-0001 | Public Charity-exempt From Financial Requirements | 2016-10-13 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter Flueckiger | Wake Forest Baptist Medical Center, Winston Salem, NC 27157-0001 | Resident Physician | 2017-07-01 ~ 2019-06-30 |
| Wake Forest University Health Sciences | Medical Center Blvd, Winston Salem, NC 27157-0001 | Public Charity-exempt From Financial Requirements | 2011-04-25 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly A Isley | Medical Center Blvd., Winsten-salem, NC 27157 | Physical Therapist Assistant | ~ 2006-11-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| North American Liaison Bureau Inc · Education Congo | 2216 Elgin Rd, Winston Salem, NC 27103-4423 | Public Charity | 2020-02-04 ~ 2020-05-31 |
| Phillip Ellison | 1170 Chester Rd, Winston Salem, NC 27104-1310 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Amanda Dawn Shore | 381 Dover Drive, Winston Salem, NC 27104 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Spainhour Triplett | 305 Weavil Rd, Winston Salem, NC 27107-8977 | Registered Nurse | ~ |
| Restorative Medical | 2491 Armstrong Dr, Winston Salem, NC 27103-6813 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Greenleaf Medical Supply LLC | 1409 Plaza West Rd Ste# G, Winston Salem, NC 27103 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Cynthia Victoria Francisco | 111 Berwyn Ct, Winston Salem, NC 27107-2027 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Donna J O'meara · Lyons | 827 Westover Ave, Winston Salem, NC 27104 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Hannah Nations Knight | 313 Bent Oak Dr, Winston Salem, NC 27107-5005 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Brooke Sexton Trogdon | 3820 White Petals Ct, Winston Salem, NC 27107-6052 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Find all Licenses in WINSTON SALEM | |||
| City | WINSTON SALEM |
| Zip Code | 27157 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WINSTON SALEM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edison H Wong | 801 N Orange Ave, Orlando, FL 32801 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Julielynn Y Wong | 828 Dundas St West, Toronto, ON M6J 1V3 | Physician/surgeon | ~ |
| Jean Wong Md | 455 Lewis Ave Ste 210, Meriden, CT 06451-2121 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kei Wong | 100 York Street, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brian Wong | 462 Queen St., Southington, CT 06489 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| James J Y Wong | 102 East Ave, Norwalk, CT 06851 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Anselm Wong Md | 38 Republic Dr Apt 129, Bloomfield, CT 06002-5465 | Physician/surgeon | 2012-09-01 ~ 2013-08-31 |
| Waichi Wong | 21 Lisa Court #1, Waterbury, CT 06704 | Physician/surgeon | 1999-10-22 ~ 2000-05-31 |
| Serena L Wong | 145 Culver Ln, North Haven, CT 06473-3732 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Paul Y Wong Md | Day Kimball Hospital, Putnam, CT 06260 | Physician/surgeon | 2005-04-28 ~ 2006-05-31 |
Please comment or provide details below to improve the information on MATTHEW HARRY WONG.
| 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).