CHRISTINA Y CHANG (Credential# 556355) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
CHRISTINA Y CHANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038767. The credential type is physician/surgeon. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 7702 Maryknoll Ave., Bethesda, MD 20817. The current status is active.
| Licensee Name | CHRISTINA Y CHANG |
| Credential ID | 556355 |
| Credential Number | 1.038767 |
| Credential Type | Physician/Surgeon |
| Business Address |
7702 Maryknoll Ave. Bethesda MD 20817 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-06-20 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2019-11-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 237519 | CSP.0029853 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-01 | 2007-03-01 - 2008-02-29 | INACTIVE |
| Street Address | 7702 Maryknoll Ave. |
| City | Bethesda |
| State | MD |
| Zip Code | 20817 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| International Lyme and Associated Diseases Educational Foundation Inc · Iladef | 5101 River Rd, Bethesda, MD 20817 | Public Charity | 2018-12-01 ~ 2019-11-30 |
| Macchu Pisco LLC · Macchu Pisco | 7709 Grandada Dr, Bethesda, MD 20817 | Out of State Shipper Liquor | 2020-05-13 ~ 2021-05-12 |
| Randi B Vannucchi | 6409 Rock Forest Drive 101, Bethesda, MD 20817 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Peixin Shi | 6909 Wilson Lane, Bethesda, MD 20817 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
| David W Doar | 8225 Stone Trail Dr, Bethesda, MD 20817 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
| Michael L Lenkin | 8204 Wahly Dr, Bethesda, MD 20817 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Andrew T Schwartz | 5900 Conway Rd, Bethesda, MD 20817 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Hmshost Foundation Inc | 6905 Rockledge Drive, Bethesda, MD 20817 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Takecare Relief Fund Inc | 10400 Fernwood Road 52/935.62, Bethesda, MD 20817 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Valerie M White | 5916 Beech Av, Bethesda, MD 20817 | Real Estate Salesperson | 2006-06-01 ~ 2007-05-31 |
| Find all Licenses in zip 20817 | |||
| City | Bethesda |
| Zip Code | 20817 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Bethesda |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chang R. Na | 925 Mix Ave Apt 1p, Hamden, CT 06514-5119 | Physician/surgeon | 2013-03-01 ~ 2014-02-28 |
| Tina Yin Chang | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Sandy Chang | Madison, CT 06443 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robert Y Chang Md | 35 Elm St, New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Yu C Chang | 209-42 30th Ave., Bayside, NY 11360-2419 | Physician/surgeon | 2006-07-12 ~ 2007-08-31 |
| John J Chang Md | 7 Keegan Dr, Bethany, CT 06524-3264 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Johnny A Chang Md | 538 Litchfield St Ste 102, Torrington, CT 06790 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joann C Chang | 4 Liberty Sq, Littleton, MA 01460-2002 | Physician/surgeon | 2018-12-01 ~ 2019-11-30 |
| Grace Chang | 17 Hillhouse Ave, New Haven, CT 06511-8965 | Physician/surgeon | 1984-07-05 ~ 1992-02-29 |
| Effie C Chang | 282 Karen Dr, Orange, CT 06477-2936 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Please comment or provide details below to improve the information on CHRISTINA Y CHANG.
| 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).