PHUONG A NGUYEN OD (Credential# 336618) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PHUONG A NGUYEN OD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033365. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 1402 Berlin Tpke, Wethersfield, CT 06109. The current status is active.
| Licensee Name | PHUONG A NGUYEN OD |
| Credential ID | 336618 |
| Credential Number | CSP.0033365 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1402 Berlin Tpke Wethersfield CT 06109 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-04-22 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 763243 | 3.002615 | Optometrist | 2003-03-11 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 1402 BERLIN TPKE |
| City | WETHERSFIELD |
| State | CT |
| Zip Code | 06109 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James H Nguyen Dmd | 1402 Berlin Tpke, Wethersfield, CT 06109 | Dentist | 2020-05-01 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
| Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06109 | |||
| City | WETHERSFIELD |
| Zip Code | 06109 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WETHERSFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Phuong Thanh Nguyen Nhu | 290 Brittany Farms Rd Apt H, New Britain, CT 06053-1146 | Controlled Substance Registration for Practitioner | 2017-06-14 ~ 2019-02-28 |
| Lisa Phuong | 440 W End Ave Apt 12f, New York, NY 10024-5358 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Phuong Luu | Prime Healthcare, PC, Aveon, CT 06001 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Phuong L Tran | 10 B1 Lakeshore Dr, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 1993-10-29 ~ 1995-11-01 |
| Phuong Q Tien | 65 Prospect St Apt T-5, Stamford, CT 06901 | Controlled Substance Registration for Practitioner | 2007-08-30 ~ 2008-02-29 |
| Lan Phuong V Pham Md | 16 Nottinghem Way, Mahopac, NY 10541 | Controlled Substance Registration for Practitioner | 2006-02-27 ~ 2007-02-28 |
| Phuong H Batouli | 5201 Levering Mill Rd, Apex, NC 27539-3640 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Thanh Phuong Trinh | 263 Farmington Ave, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2019-07-29 ~ 2021-02-28 |
| Tai A Nguyen Od | 2 Larkins Way, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lan V Nguyen | 76 Emerald St, Quincy, MA 02169-1004 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).