JOHNNY A CHANG MD (Credential# 558760) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JOHNNY A CHANG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041177. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 538 Litchfield St Ste 102, Torrington, CT 06790. The current status is active.
| Licensee Name | JOHNNY A CHANG MD |
| Credential ID | 558760 |
| Credential Number | 1.041177 |
| Credential Type | Physician/Surgeon |
| Business Address |
538 Litchfield St Ste 102 Torrington CT 06790 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-03-03 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 335900 | CSP.0033357 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-21 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 538 LITCHFIELD ST STE 102 |
| City | TORRINGTON |
| State | CT |
| Zip Code | 06790 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca E Giuditta | 538 Litchfield St Ste 102, Torrington, CT 06790-6669 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard Cogswell | 54 Birden St, Torrington, CT 06790 | Emergency Medical Technician | 2018-02-28 ~ 2020-06-30 |
| Maria Maclovia Vijay | 45 Cameron Street, Torrington, CT 06790 | Nail Technician | ~ |
| Tania Rosa Yupa | 141 Oak Av, Torrington, CT 06790 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Maria Teresa Aguaiza | 518 Circle Dr., Torrington, CT 06790 | Nail Technician | ~ |
| Gail A Langlois | 170 Hoerle Blvd, Torrington, CT 06790 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Petricon's Torrington Pharmacy | 110 East Main St, Torrington, CT 06790 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Danielle L Jolicoeur | 25 Millard Street, Torrington, CT 06790 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Elizabeth Etta Begley | 1268 East Main St., Torrington, CT 06790 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Margaret A Gumbs | 415 Hillandale Blvd., Torrington, CT 06790 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Apex Community Care, Inc. | 601 South Main St. Unit #3, Torrington, CT 06790 | Psychiatric Outpatient Clinic | 2020-06-19 ~ 2023-03-31 |
| Find all Licenses in zip 06790 | |||
| City | TORRINGTON |
| Zip Code | 06790 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + TORRINGTON |
| 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 |
| Sandy Chang | Madison, CT 06443 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Yu C Chang | 209-42 30th Ave., Bayside, NY 11360-2419 | Physician/surgeon | 2006-07-12 ~ 2007-08-31 |
| Robert Y Chang Md | 35 Elm St, New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Tina Yin Chang | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Joann C Chang | 4 Liberty Sq, Littleton, MA 01460-2002 | Physician/surgeon | 2018-12-01 ~ 2019-11-30 |
| Nam Sik Chang | Scott Dr, South Windsor, CT 06074 | Physician/surgeon | 1981-01-01 ~ 1987-09-22 |
| John J Chang Md | 7 Keegan Dr, Bethany, CT 06524-3264 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Stanley Chang | 79 Greenacres Ave, Scarsdale, NY 10583 | Physician/surgeon | 2003-09-22 ~ 2004-09-30 |
| Jason S Chang | 246 Yardley Way, Pittsburgh, PA 15206 | Physician/surgeon | 2008-01-07 ~ 2009-01-31 |
Please comment or provide details below to improve the information on JOHNNY A CHANG 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).