LILY L CHAN DMD (Credential# 349875) 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.
LILY L CHAN DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033989. 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 600 Asylum Ave Apt.1022, Hartford, CT 06105. The current status is inactive.
| Licensee Name | LILY L CHAN DMD |
| Credential ID | 349875 |
| Credential Number | CSP.0033989 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
600 Asylum Ave Apt.1022 Hartford CT 06105 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2004-02-29 |
| Expiration Date | 2005-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 703604 | 2.009152 | Dentist | 2003-05-14 | 2003-11-06 - 2004-12-31 | INACTIVE |
| Street Address | 600 ASYLUM AVE APT.1022 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | HARTFORD |
| Zip Code | 06105 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chan K Rha Md | 39 2nd St, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Sirius S Chan Md | Greenwich, CT 06836 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Hannah Chan | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kathleen Chan | 116 Crown St Apt 5b, New Haven, CT 06510-3044 | Controlled Substance Registration for Practitioner | 2015-06-23 ~ 2017-02-28 |
| Wayne W Chan | 185 Santa Fe Ave, Hamden, CT 06517-1531 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Diane Chan | 25 Thatcher St Apt 1, Brookline, MA 02446-3532 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kaylund R Chan | 5 Perryridge Rd, Greenwich, CT 06830-4697 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Lily Hu | 63 Melcher Street, Boston, MA 02210 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Lily M Horng | 15 Cottage St, New Haven, CT 06511-2524 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Brian K Harshman | 904 Lily Dr, Lexington, KY 40504-3205 | Controlled Substance Registration for Practitioner | 2011-07-06 ~ 2013-02-28 |
Please comment or provide details below to improve the information on LILY L CHAN DMD.
| 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).