CAROLYN ANNE CHAN (Credential# 1988461) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 2, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
CAROLYN ANNE CHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064945. The credential type is physician/surgeon. The effective date is March 2, 2020. The expiration date is March 31, 2021. The business address is 2500 Metrohealth Dr, Cleveland, OH 44109-1900. The current status is active.
Licensee Name | CAROLYN ANNE CHAN |
Credential ID | 1988461 |
Credential Number | 1.064945 |
Credential Type | Physician/Surgeon |
Business Address |
2500 Metrohealth Dr Cleveland OH 44109-1900 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-03-02 |
Effective Date | 2020-03-02 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-03-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1991445 | CSP.0072901 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-03-02 | 2020-03-02 - 2021-02-28 | ACTIVE |
Street Address | 2500 METROHEALTH DR |
City | CLEVELAND |
State | OH |
Zip Code | 44109-1900 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Metrohealth Foundation Inc | 2500 Metrohealth Dr Towers # 135a, Cleveland, OH 44109-1900 | Public Charity | 2019-12-01 ~ 2020-11-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michaline Baskiewicz | 3306 Bader Avenue, Cleveland, OH 44109 | Registered Nurse | 2005-10-03 ~ 2006-09-30 |
Nancy A Schultz | 3320 Highview Avenue, Cleveland, OH 44109 | Licensed Clinical Social Worker | 2002-05-03 ~ 2003-05-31 |
Robert W Shearer | 3143 W 33rd St, Cleveland, OH 44109-1550 | Architect | 2016-08-01 ~ 2017-07-31 |
Vincent M Corre | 3100 Devonshire Rd Apt 506, Cleveland, OH 44109-4009 | Physical Therapist | 2018-05-01 ~ 2019-04-30 |
Drd Inc · Power Direct | 4805 Pearl Rd, Cleveland, OH 44109-5145 | Solicitation Notice | 2012-04-24 ~ 2013-02-14 |
Kathir Balakumaran | 2613 Walbrook Ave, Cleveland, OH 44109-5546 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Proformex, LLC | 1001 Lakeside Avenue, Cleveland, OH 44114 | Securities - Exemptions | 2020-06-17 ~ |
Michael J Lipowski | 13212 Shaker Sq, Cleveland, OH 44120 | Architect | 2020-08-01 ~ 2021-07-31 |
Podojil Builders Inc | 10219 Brecksville Rd, Cleveland, OH 44141-3271 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
Heather N Perry | 4753 Spring Place Rd Se, Cleveland, TN 37323-8909 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Rdl Architects Inc | 16102 Chagrin Blvd Ste 200, Cleveland, OH 44120-3708 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
Fred Margulies | 25001 Emery Rd Ste 400, Cleveland, OH 44128-5627 | Architect | 2020-08-01 ~ 2021-07-31 |
Lisa Robin Barto | 3940 Azalea Dr Nw, Cleveland, TN 37312-3910 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Integrated Engineering Consultants Inc | 9700 Rockside Road, Suite 290, Cleveland, OH 44125 | Professional Engineering Corporation | 2020-06-15 ~ 2021-06-14 |
Kevin Hengst | 1250 Old River Rd, Cleveland, OH 44113 | Architect | 2020-08-01 ~ 2021-07-31 |
Jonathan Sandvick | 1265 West 6th Street, Cleveland, OH 44113 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in CLEVELAND |
City | CLEVELAND |
Zip Code | 44109 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + CLEVELAND |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Konrad K-y Chan | 700 Sir John A Mac, Kingston On K7m 1a4 | Physician/surgeon | ~ 1999-06-30 |
Brandon W. Chan | 126 Marlboro Dr, Mcmurray, PA 15317-3651 | Physician/surgeon | 2014-03-28 ~ 2014-09-30 |
Michelle P Chan Do | 15 Redcoat Rd, Norwalk, CT 06850 | Physician/surgeon | 2008-06-09 ~ 2009-03-31 |
Jae Chan Kim | 43 Tweed Blvd, Nyack, NY 10960 | Physician/surgeon | 2003-01-02 ~ 2003-12-31 |
Brenda S Chan Md | 30 Commerce Road, Stamford, CT 06902 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Daniel Chan Md | 1 Jennifer Lane, Westport, CT 06880 | Physician/surgeon | 2001-03-01 ~ 2002-04-30 |
Kang G Chan | 364 Shea Drive, New Milford, NJ 07646 | Physician/surgeon | 1992-11-24 ~ 1993-11-30 |
Kwok O Chan | 156 Fairway Xing, Glastonbury, CT 06033 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Belinda Juliet Chan Md | 420 E Main St, Branford, CT 06405-2940 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Benjamin Chan | 100 East Way, Mount Kisco, NY 10549-3507 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
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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).