DAVIS B NGUYEN MD (Credential# 513003) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 17, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
DAVIS B NGUYEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044513. The credential type is controlled substance registration for practitioner. The effective date is August 17, 2017. The expiration date is February 28, 2019. The business address is 450 S Beverly Dr, Beverly Hills, CA 90212-4402. The current status is lapsed.
| Licensee Name | DAVIS B NGUYEN MD |
| Credential ID | 513003 |
| Credential Number | CSP.0044513 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
450 S Beverly Dr Beverly Hills CA 90212-4402 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2008-09-02 |
| Effective Date | 2017-08-17 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 564427 | 1.046845 | Physician/Surgeon | 2008-07-25 | 2016-08-01 - 2017-07-31 | INACTIVE |
| Street Address | 450 S BEVERLY DR |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-4402 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason William Chirichigno | 9683 W Olympic Blvd, Beverly Hills, CA 90212 | Physician/surgeon | 2020-02-11 ~ 2020-08-31 |
| Kenneth Washenik | 9100 Wilshire Blvd, Beverly Hills, CA 90212 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Homayoun Sadeghi | Box 3861, Beverly Hills, CA 90212 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Michael J Greenberg | 9720 Wilshire Blvd, Beverly Hills, CA 90212 | Psychologist | ~ |
| Elizabeth Lyle | 140 S. Roxbury Drive, #17, Beverly Hills, CA 90212 | Real Estate Salesperson | 2009-08-13 ~ 2010-05-31 |
| Rita B Wolfred | 223 Mccarty Dr, Beverly Hills, CA 90212 | Dental Hygienist | 1998-05-12 ~ 1999-05-31 |
| Tsd Corporation | 449 S Beverly Dr 3rd Floor, Beverly Hills, CA 90212 | Major Contractor | 1999-07-01 ~ 2000-06-30 |
| L Lee Bosley | 9100 Wilshire Blvd, Beverly Hills, CA 90212 | Physician/surgeon | 2001-08-20 ~ 2002-09-30 |
| Elizabeth Taylor Aids Foundation (the) | 9701 Wilshire Blvd Ste 600, Beverly Hills, CA 90212-2024 | Public Charity | 2020-01-24 ~ 2020-11-30 |
| Magic Johnson Foundation Inc | 9100 Wilshire Blvd, Beverly Hills, CA 90212-3415 | Public Charity | 2014-04-07 ~ |
| Find all Licenses in zip 90212 | |||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BEVERLY HILLS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| W Bradley Davis Dvm | Davis Companion Animal Hospital, Woodbury, CT 06798 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anh-thu Q Nguyen | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nam Nguyen | 16 Aldrew Ter, Springfield, MA 01119 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tai A Nguyen Od | 2 Larkins Way, Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Christopher Nguyen | Farmington, CT 06032 | Controlled Substance Registration for Practitioner | 2016-07-25 ~ 2017-02-28 |
| Ha V Nguyen | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Lan V Nguyen | 76 Emerald St, Quincy, MA 02169-1004 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Giang-kim Nguyen | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Khanh V Nguyen Md | 224 Goddard Row, Newport, RI 02840 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Henry Nguyen | 2 Christopher Rd, Ridgefield, CT 06877-2407 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).