MARIANA CHANG (Credential# 1643936) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2022. The license status is ACTIVE.
MARIANA CHANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062540-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2022. The business address is One Hospital Plaza, Stamford, CT 06902. The current status is active.
| Licensee Name | MARIANA CHANG |
| Credential ID | 1643936 |
| Credential Number | 1.062540-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
One Hospital Plaza Stamford CT 06902 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2022-06-30 |
| Refresh Date | 2019-04-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1692452 | CSP.0072446 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-09-24 | 2019-09-24 - 2021-02-28 | ACTIVE |
| Street Address | One Hospital Plaza |
| City | Stamford |
| State | CT |
| Zip Code | 06902 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Monique Smith | One Hospital Plaza, Stamford, CT 06904 | Notary Public Appointment | 2018-06-29 ~ 2023-06-30 |
| Valeria Grijalva | One Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Anna Stransky | One Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Krista Dionne | One Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Mahta Salehi | One Hospital Plaza, Stamford, CT 06902 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Lifan Hsu | One Hospital Plaza, Stamford, CT 06904 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Nneka Nwachukwu | One Hospital Plaza, Stamford, CT 06904 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Marissa Novack | One Hospital Plaza, Stamford, CT 06904 | Resident Physician | 2015-07-01 ~ 2021-06-30 |
| Paul D Bobby Md | One Hospital Plaza, Stamford, CT 06902 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Dennis Barbon | One Hospital Plaza, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 2019-06-11 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | Stamford |
| Zip Code | 06902 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Stamford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ylec Mariana Cardenas Castillo | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Mariana Espinal Muller Karger | 111 Park Street Unit #12n, New Haven, CT 06511 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jason Chang | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
| Eric Chang | 15 York St, New Haven, CT 06510-3221 | Resident Physician | 2016-06-27 ~ 2020-06-30 |
| Eric Chang | 20 York Street, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Yandy Chang | 3010 3rd St W, Lehigh Acres, FL 33971-1936 | Resident Physician | 2018-06-25 ~ 2021-06-30 |
| Jonathan Chang | 939 S Fircroft St, West Covina, CA 91791-3305 | Resident Physician | 2017-07-01 ~ 2022-06-30 |
| Sunny Chang | 4967 Torero Rd, Santa Barbara, CA 93111-1925 | Resident Physician | 2018-07-05 ~ 2021-06-30 |
| Charles Chang | 8460 Via Mallorca Unit 237, La Jolla, CA 92037-2646 | Resident Physician | 2015-08-01 ~ 2020-06-30 |
| Joy H Chang | 277 Main St Apt B1, Farmington, CT 06032-2935 | Resident Dentist | 2015-07-01 ~ 2018-06-30 |
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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).