CHANG-SONG CHOI MD (Credential# 541659) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2012. The license expiration date date is September 30, 2013. The license status is INACTIVE.
CHANG-SONG CHOI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015857. The credential type is physician/surgeon. The effective date is October 1, 2012. The expiration date is September 30, 2013. The business address is 46 Goodwin Street, Bristol, CT 06010. The current status is inactive.
| Licensee Name | CHANG-SONG CHOI MD |
| Credential ID | 541659 |
| Credential Number | 1.015857 |
| Credential Type | Physician/Surgeon |
| Business Address |
46 Goodwin Street Bristol CT 06010 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1973-02-26 |
| Effective Date | 2012-10-01 |
| Expiration Date | 2013-09-30 |
| Refresh Date | 2014-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 147176 | CSP.0007851 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 46 GOODWIN STREET |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRISTOL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chang Hyun Michael Choi | 7879 Silverlake Ln, Memphis, TN 38119 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Samuel Song | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Soo K Choi Md | 176 Bobby Ln, Manchester, CT 06040-6780 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Alexander Kwan Choi | Po Box 351, Middletown, CT 06457-7023 | Physician/surgeon | 1983-09-12 ~ 1990-01-31 |
| Julie C Choi Md | 5 Duhamel Dr, Hopewell Jct, NY 12533-5364 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Patricia H Choi | 66 Glenbrook, Stamford, CT 06902 | Physician/surgeon | 1999-07-02 ~ 2000-07-31 |
| Myung W Choi Md | 22 Westfield Ave, Ansonia, CT 06401 | Physician/surgeon | 2004-02-09 ~ 2005-03-31 |
| Chang Woo Choi | 35-64 80th Street, Jackson Heights, NY 11372 | Asbestos Abatement Worker | 2009-01-05 ~ 2009-12-31 |
| Soon Hi Song | The Michelan 1204, Seoul, 137870 | Physician/surgeon | 2005-10-31 ~ 2006-12-31 |
| Dae Y Song | 413 Ivanhoe Drive, Selma, AL 36701 | Physician/surgeon | 2001-09-10 ~ 2002-10-31 |
Please comment or provide details below to improve the information on CHANG-SONG CHOI 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).