ALEXANDER H FAN MD (Credential# 556015) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 9, 2001. The license expiration date date is April 30, 2002. The license status is INACTIVE.
ALEXANDER H FAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038425. The credential type is physician/surgeon. The effective date is April 9, 2001. The expiration date is April 30, 2002. The business address is 576 Whitney Avenue Apt K1, New Haven, CT 06511. The current status is inactive.
| Licensee Name | ALEXANDER H FAN MD |
| Credential ID | 556015 |
| Credential Number | 1.038425 |
| Credential Type | Physician/Surgeon |
| Business Address |
576 Whitney Avenue Apt K1 New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-02-24 |
| Effective Date | 2001-04-09 |
| Expiration Date | 2002-04-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 233315 | CSP.0029368 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-03-01 - 2002-02-28 | INACTIVE |
| Street Address | 576 WHITNEY AVENUE APT K1 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Young | Po Box 141, Hawleyville, CT 06440 | Physician/surgeon | 1995-11-30 ~ 1996-11-30 |
| Alexander Paul | 389 Humphrey St, New Haven, CT 06511-3710 | Physician/surgeon | ~ |
| Alexander F Au | 16 Franklin's Way, Guilford, CT 06437 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Alexander Aizman | 2960 Ocean Ave Ste 4, Brooklyn, NY 11235-3286 | Physician/surgeon | ~ |
| Alexander Bayer | 26 Brookside Rd, New Britain, CT 06052 | Physician/surgeon | 1995-05-22 ~ 1996-06-30 |
| Alexander Christian Miles | 639 Oakmont Ave, Las Vegas, NV 89109-0190 | Physician/surgeon | ~ |
| Alexander J Pinsky | 221 Soundview Ave, Stamford, CT 06902 | Physician/surgeon | 2000-01-20 ~ 2001-01-31 |
| Charles P Alexander Md | 107 John St, Southport, CT 06890-1466 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Laura J Alexander | 113 Valentine Pl Apt 960, Ithaca, NY 14850-6176 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Alexander Berger | 210 Monitor Rd, Portsmouth, VA 23707-1020 | Physician/surgeon | 1958-08-25 ~ 1989-05-31 |
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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).