LAN PHUONG V PHAM MD (Credential# 427890) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 27, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.
LAN PHUONG V PHAM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038774. The credential type is controlled substance registration for practitioner. The effective date is February 27, 2006. The expiration date is February 28, 2007. The business address is 16 Nottinghem Way, Mahopac, NY 10541. The current status is inactive.
| Licensee Name | LAN PHUONG V PHAM MD |
| Credential ID | 427890 |
| Credential Number | CSP.0038774 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
16 Nottinghem Way Mahopac NY 10541 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2006-02-27 |
| Effective Date | 2006-02-27 |
| Expiration Date | 2007-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 561609 | 1.044027 | Physician/Surgeon | 2006-01-12 | 2006-01-12 - 2006-07-31 | INACTIVE |
| Street Address | 16 NOTTINGHEM WAY |
| City | MAHOPAC |
| State | NY |
| Zip Code | 10541 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ernestine Daniel | 21 Mianna Drive, Mahopac, NY 10541 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Thomas A Nugent | 79 Austin Rd, Mahopac, NY 10541 | Architect | 2020-08-01 ~ 2021-07-31 |
| Vasiliki Gleason | 7 Senior Avenue, Mahopac, NY 10541 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joel Greenberg | 2 Muscoot Rd N, Mahopac, NY 10541 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stacy Shires | 7 Rambler Rd, Mahopac, NY 10541 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Henry Samoyedny | 54 Mcmillan Ave, Mahopac, NY 10541 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Joseph D Mastromonaco Jr | 10 Rockledge Place, Mahopac, NY 10541 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| James B Polo | 43 Dahlia Dr, Mahopac, NY 10541 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Jill E Branch | 166 Croton Falls Rd, Mahopac, NY 10541 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
| Richard J Castro | 803 So Lake Blv D, Mahopac, NY 10541 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10541 | |||
| City | MAHOPAC |
| Zip Code | 10541 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MAHOPAC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 L Tran | 10 B1 Lakeshore Dr, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 1993-10-29 ~ 1995-11-01 |
| Phuong Luu | Prime Healthcare, PC, Aveon, CT 06001 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Phuong Q Tien | 65 Prospect St Apt T-5, Stamford, CT 06901 | Controlled Substance Registration for Practitioner | 2007-08-30 ~ 2008-02-29 |
| Phuong A Nguyen Od | 1402 Berlin Tpke, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Phuong H Batouli | 5201 Levering Mill Rd, Apex, NC 27539-3640 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| 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 |
| Hao T Pham Aprn | 73 Meetinghouse Rdg, Meriden, CT 06450-7288 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Norma Pham | 754 Orange St#3, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-10-25 ~ 2005-02-28 |
| Laura Tl Pham Md | 425 High Street, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on LAN PHUONG V PHAM MD.
| 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).