EDMUND Y CHUNG (Credential# 559332) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
EDMUND Y CHUNG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041749. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 410 Saybrook Rd Suite 201, Middletown, CT 06457. The current status is active.
| Licensee Name | EDMUND Y CHUNG |
| Credential ID | 559332 |
| Credential Number | 1.041749 |
| Credential Type | Physician/Surgeon |
| Business Address |
410 Saybrook Rd Suite 201 Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-08-08 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 434420 | CSP.0039004 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-04-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 410 SAYBROOK RD SUITE 201 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jin H Chung | 211 Maple Dr, Coventry, CT 06238-2833 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Sun M Chung | 315 E 70th St Apt 11r, New York, NY 10021-8651 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Eui K Chung Md | 255 Pomfret St, Putnam, CT 06260 | Physician/surgeon | 2006-03-22 ~ 2007-05-31 |
| Kyung H Chung | Boston, MA 02111 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| James B Chung | Pfizer, Inc., Groton, CT 06340 | Physician/surgeon | 2003-06-05 ~ 2004-07-31 |
| Hannah Chung | 540 Litchfield St., Torrington, CT 06790 | Physician/surgeon | 2016-03-28 ~ 2017-02-28 |
| Chung K Shin | 91 East Ave, Norwalk, CT 06851 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Nancy Chung | 73 Market St Ste 219, Yonkers, NY 10710-7617 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sulin Chung | 532 Route 9w, Piermont, NY 10968 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Carol Chung | 409 Ellsworth Ave, New Haven, CT 06511-7125 | Physician/surgeon | 1988-07-01 ~ 1989-09-30 |
Please comment or provide details below to improve the information on EDMUND Y CHUNG.
| 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).