DAVID CHU (Credential# 1662372) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license status is PENDING.
DAVID CHU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1. The credential type is physician/surgeon. The business address is 1500 Route 112 Building 4, Port Jefferson Station, NY 11776. The current status is pending.
| Licensee Name | DAVID CHU |
| Credential ID | 1662372 |
| Credential Number | 1 |
| Credential Type | Physician/Surgeon |
| Business Address |
1500 Route 112 Building 4 Port Jefferson Station NY 11776 |
| Business Type | INDIVIDUAL |
| Status | PENDING - PENDING |
| Refresh Date | 2019-05-28 |
| Street Address | 1500 Route 112 Building 4 |
| City | Port Jefferson Station |
| State | NY |
| Zip Code | 11776 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey Lee Vacirca | 1500 Route 112 Building 4, Port Jefferson Station, NY 11776 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joanne Louise Downing | 7 Cully Street, Port Jefferson Station, NY 11776 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Beth Anne Travis | 307 Woodhull Ave, Port Jefferson Station, NY 11776 | Registered Nurse - Temporary | 2020-04-22 ~ 2020-08-20 |
| Kelly Ann Kosciuk | 5 Hancock Street, Port Jefferson Station, NY 11776 | Registered Nurse | 2020-03-06 ~ 2021-02-28 |
| Praimchand Nardeo | 15a East Grove Street, Port Jefferson Station, NY 11776 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Paul Lappano | 45 Bedford Ave, Port Jefferson Station, NY 11776 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Stewart D Charaton | 3 Exeter Drive, Port Jefferson Station, NY 11776 | Notary Public Appointment | 2005-12-28 ~ 2010-12-31 |
| Kristen Youngberg | 1 Evelyn Rd, Port Jeff Sta, NY 11776 | Massage Therapist | 2018-09-19 ~ 2020-09-30 |
| Paul Alan Werfel | 36 Sahenandoah Avlvd, Port Jefferson Station, NY 11776 | Emergency Medical Technician | ~ |
| Clark S Homan | 2 Pagnotta Drive, Port Jefferson, NY 11776 | Physician/surgeon | 2007-09-24 ~ 2008-10-31 |
| Michael Allen Hawley | 36 South Columbia St., Port Jefferson Station, NY 11776 | Master's Level Social Worker | ~ |
| Find all Licenses in zip 11776 | |||
| City | Port Jefferson Station |
| Zip Code | 11776 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Port Jefferson Station |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David M Heydt | 34 Loft Dr, Martinsville, NJ 08836-2261 | Physician/surgeon | ~ |
| David Zhou | 125 Paterson St, Meb 233, New Brunswick, NJ 08903 | Physician/surgeon | ~ |
| David L Maxham | Box 517, Woodstock, VT 05091 | Physician/surgeon | 1994-03-07 ~ 1995-02-28 |
| David M Drvaric | 516 Carew St, Springfield, MA 01104-2330 | Physician/surgeon | ~ |
| David G. Srour Md | Rockville, MD 20850 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
| David L Brook | Rfd 3, Oakland, ME 04963 | Physician/surgeon | 1994-08-08 ~ 1995-10-31 |
| David Khaski | 372 Avenue U Ste 1b, Brooklyn, NY 11223-4052 | Physician/surgeon | ~ |
| David A Brill | Po Box 710, Mystic, CT 06355-0710 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| David J Rea | 5699 N Centerpark Way Apt 502, Glendale, WI 53217-4571 | Physician/surgeon | ~ |
| David J Martin | C/o O.s.m., Trumbull, CT 06611 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on DAVID CHU.
| 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).