HIEUCAM PHAN (Credential# 557661) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 7, 2002. The license expiration date date is October 31, 2003. The license status is INACTIVE.
HIEUCAM PHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040078. The credential type is physician/surgeon. The effective date is October 7, 2002. The expiration date is October 31, 2003. The business address is 28049 Petrina Ct., Hayward, CA 94545. The current status is inactive.
| Licensee Name | HIEUCAM PHAN |
| Credential ID | 557661 |
| Credential Number | 1.040078 |
| Credential Type | Physician/Surgeon |
| Business Address |
28049 Petrina Ct. Hayward CA 94545 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-01-04 |
| Effective Date | 2002-10-07 |
| Expiration Date | 2003-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 28049 PETRINA CT. |
| City | HAYWARD |
| State | CA |
| Zip Code | 94545 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gang Xuan | 28357 Industrial Blvd, Hayward, CA 94545 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Shasta Beverages Inc | 26901 Industrial Blvd, Hayward, CA 94545 | Non-alcoholic Beverage & Water Bottlers | ~ 1996-06-30 |
| Intarcia Therapeutics, Inc. · N/a | 24650 Industrial Blvd., Hayward, CA 94545 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2018-07-18 ~ |
| Signature Wine Cellars Inc | 2536 Barrington Court, Hayward, CA 94545 | Out of State Winery | 2009-06-02 ~ 2010-07-02 |
| Coram Healthcare Corp Northern Ca | 21353 Cabot Blvd, Hayward, CA 94545 | Nonresident Pharmacy | 2000-04-28 ~ 2000-08-31 |
| United Fiber Inc | 22430 Thunderbird Pl, Hayward, CA 94545 | Manufacturer of Bedding & Upholstered Furniture | 1997-05-01 ~ 1998-04-30 |
| Joseph M Barese | 1970 Catalpa Way, Hayward, CA 94545 | Electrical Unlimited Journeyperson | ~ |
| Sugar Bowl Bakery | 1963 Sabre St, Hayward, CA 94545-1021 | Bakery | 2009-07-01 ~ 2010-06-30 |
| Baxter Healthcare Corporation | 2026 W Winton Ave, Hayward, CA 94545-1208 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Baxter Healthcare Corporation | 21026 Alexander Ct, Hayward, CA 94545-1234 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2012-12-11 ~ |
| Find all Licenses in zip 94545 | |||
| City | HAYWARD |
| Zip Code | 94545 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HAYWARD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Minh Phan | 28 Berkeley Ter, Milford, CT 06460-4919 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Nam M Phan | 1295 5th Ave Apt 13e, New York, NY 10029-3131 | Dentist | 2016-08-09 ~ 2017-08-31 |
| He Phan | 169 Doman Dr, Torrington, CT 06790-3491 | Nail Technician | ~ |
| Anh Phan | 43 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Sarah Phan | 6 Winter St Apt 3rd Flr, Dorchester, MA 02122 | Pharmacist | ~ |
| Lan T Phan | 98 Pitkin St Ste A, East Hartford, CT 06108-3300 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Ty Thi Phan | 169 Doman Dr, Torrington, CT 06790-3491 | Nail Technician | 2020-04-21 ~ 2022-01-31 |
| Bao Han K Phan | 25 Spruce St, Manchester, CT 06040 | Pharmacy Technician | 2007-04-19 ~ 2008-03-31 |
| Mi T Phan | 205 Abbotsford Ave, West Hartford, CT 06110-2208 | Pharmacy Intern | 2018-09-05 ~ 2022-09-30 |
| Tram Ngoc Phan | 470 Prospect St. Apt #75, New Haven, CT 06511 | Pharmacist | 2009-02-01 ~ 2010-01-31 |
Please comment or provide details below to improve the information on HIEUCAM PHAN.
| 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).