JENNIFER YEH CHIANG (Credential# 1799221) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JENNIFER YEH CHIANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064643. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 5717 Pacific Center Blvd, San Diego, CA 92121. The current status is active.
| Licensee Name | JENNIFER YEH CHIANG |
| Credential ID | 1799221 |
| Credential Number | 1.064643 |
| Credential Type | Physician/Surgeon |
| Business Address |
5717 Pacific Center Blvd San Diego CA 92121 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-12-04 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-11 |
| Street Address | 5717 Pacific Center Blvd |
| City | San Diego |
| State | CA |
| Zip Code | 92121 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Siri Martin | 5717 Pacific Center Blvd, San Diego, CA 92121 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joanne Lastri Campbell | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Joshua Allen Rodgers | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Monica S Sanchez | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Karla Kanongata'a Mataele | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Katie Lynn Scott | 5717 Pacific Center Blvd, San Diego, CA 92121-4250 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
| Julie Akiko Gladsjo | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Robert Michael Stickler | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2019-06-06 ~ 2020-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suneva Medical Inc. | 5870 Pacific Center Blvd, San Diego, CA 92121 | Securities - Exemptions | 2020-05-29 ~ |
| Nicole Golding | 10221 Wateridge Circle, San Diego, CA 92121 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Nancy M Satur | 5717 Pacific Center Blvd, Suite 200, San Diego, CA 92121 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Lauren Natalie Fox | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Drawbridge Health · Drawbridge Health, Inc | 11535 Sorrento Valley Road, San Diego, CA 92121 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2020-01-22 ~ |
| Michael E Wall | 4115 Sorrento Valley Blvd, San Diego, CA 92121 | Professional Engineer | 2020-01-14 ~ 2021-01-31 |
| Robyn Rebecca Heister | 4570 Executive Drive, San Diego, CA 92121 | Physician/surgeon | 2019-12-02 ~ 2020-06-30 |
| Ethos Discovery | 10455 Sorrento Valley Road, San Diego, CA 92121 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Clarify Medical, Inc. | 10505 Sorrento Valley Road, San Diego, CA 92121 | Securities - Exemptions | 2019-11-07 ~ |
| Zeno Pharma, LLC | 10835 Road To The Cure, San Diego, CA 92121 | Securities - Exemptions | 2019-09-25 ~ |
| Find all Licenses in zip 92121 | |||
| City | San Diego |
| Zip Code | 92121 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + San Diego |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Veronica L S Chiang Md | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Anne Chiang Md | Smilow Cancer Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Michael Chung-hou Chiang | 15800 Midway Rd., Addison, TX 75001 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Cary H Chiang | 711 Sandia Place, Franklin Lakes, NJ 07417 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Chen Chun Chiang | 64 Robbis Street Rm 3304, Waterbury, CT 06708 | Resident Physician | 2019-06-10 ~ 2020-06-22 |
| Jennifer L Bau | 1 Guthrie Sq, Sayre, PA 18840-1625 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
| Jennifer H. Kuo | 161 Fort Washington Ave Fl 8, New York, NY 10032-3729 | Physician/surgeon | ~ |
| Jennifer R Lee Md | 85 Viscount Dr#8c, Milford, CT 06460 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
| Jennifer L Yeh Md | 4 Smith Dr, Savannah, GA 31406-6441 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Jennifer Lax Md | 23 Old Stone Bridge Rd, Cos Cob, CT 06807-1511 | Physician/surgeon | 2003-05-16 ~ 2004-02-29 |
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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).