CARLTON C GONG DDS (Credential# 399419) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is July 7, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
CARLTON C GONG DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037182. The credential type is controlled substance registration for practitioner. The effective date is July 7, 2009. The expiration date is February 28, 2011. The business address is 5171 Verdugo Way, Camarillo, CA 93012. The current status is inactive.
| Licensee Name | CARLTON C GONG DDS |
| Credential ID | 399419 |
| Credential Number | CSP.0037182 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5171 Verdugo Way Camarillo CA 93012 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2005-03-24 |
| Effective Date | 2009-07-07 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 703867 | 2.009415 | Dentist | 2005-03-01 | 2007-11-16 - 2008-11-30 | INACTIVE |
| Street Address | 5171 VERDUGO WAY |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93012 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lance Aaron Beltran Asiatico | 775 Avenida Valencia, Camarillo, CA 93012 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Robert D Pannone | 442 Elm Cottage Court, Camarillo, CA 93012 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Kenneth W Lucci | 3251 Corte Malpaso #511, Camarillo, CA 93012 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Mosaic Distributors, LLC | 507 Calle San Pablo, Camarillo, CA 93012 | Securities - Exemptions | 2019-10-02 ~ |
| Talca Pharmaceuticals Inc | 768b Calle Plano, Camarillo, CA 93012 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Inter Intra Corp | 1784 Marsala Way, Camarillo, CA 93012 | Importer of Bedding & Upholstered Furniture | 2018-05-01 ~ 2019-04-30 |
| R & O Pharmacy | 651 Via Alondra Unit 708 & 709, Camarillo, CA 93012 | Nonresident Pharmacy | 2015-09-01 ~ 2016-08-31 |
| Elizabeth K Harvey | 1944 Santo Domingo, Camarillo, CA 93012 | Registered Nurse | ~ |
| Jen Min Wang | 6647 Armitos Dr, Camarillo, CA 93012 | Physician/surgeon | ~ |
| Karen Feldman | 3031 Summit Circle, Camarillo, CA 93012 | Dentist | 2005-10-24 ~ 2006-08-31 |
| Find all Licenses in zip 93012 | |||
| City | CAMARILLO |
| Zip Code | 93012 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CAMARILLO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grace W Gong | Yale University, New Haven, CT 06520-8064 | Controlled Substance Registration for Practitioner | 2006-02-28 ~ 2007-02-28 |
| Amina Yixuan Gong | 10724 71st Rd Ph 2b, Forest Hills, NY 11375-4795 | Controlled Substance Registration for Practitioner | 2019-06-04 ~ 2021-02-28 |
| Juanne Osigweh | Elm and Carlton Street, Buffalo, NY 14263 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Carlton L. Schwab | 333 Cedar Street, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Carlton R Palm Md | 16153 Craigend Pl, Odessa, FL 33556 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Brandon P Olivieri | 10 D Carlton Road, Mansfield, CT 06269 | Controlled Substance Registration for Practitioner | 2011-06-24 ~ 2013-02-28 |
| Carlton A Macdonald | 24 Prospect Street, Litchfield, CT 06759 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Carlton C Phillips Md | Plaza On The Greet, Derby, CT 06418 | Controlled Substance Registration for Practitioner | 1995-11-08 ~ 1997-02-28 |
| Md Carlton C Phillips | 2 Church Street South, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 1995-11-08 ~ 1997-02-28 |
| Carlton Saucier · Carlton Construction Co | Po Box 120, Ellington, CT 06029 | Home Improvement Contractor | 2006-12-01 ~ 2007-11-30 |
Please comment or provide details below to improve the information on CARLTON C GONG DDS.
| 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).