ANN CHEN WU MD
Controlled Substance Registration for Practitioner


Address: 3543 Main St, Bridgeport, CT 06606

ANN CHEN WU MD (Credential# 274200) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.

Business Overview

ANN CHEN WU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0030687. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2004. The expiration date is February 28, 2005. The business address is 3543 Main St, Bridgeport, CT 06606. The current status is inactive.

Basic Information

Licensee Name ANN CHEN WU MD
Credential ID 274200
Credential Number CSP.0030687
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 3543 Main St
Bridgeport
CT 06606
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2004-02-29
Expiration Date 2005-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
557134 1.039550 Physician/Surgeon 2001-05-24 2002-10-23 - 2003-11-30 INACTIVE

Office Location

Street Address 3543 MAIN ST
City BRIDGEPORT
State CT
Zip Code 06606

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Competitor

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City BRIDGEPORT
Zip Code 06606
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT

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Dataset Information

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).

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