LIQUN SONG MD (Credential# 562145) 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.
LIQUN SONG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044563. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 135 Division Street, Ansonia, CT 06401. The current status is active.
| Licensee Name | LIQUN SONG MD |
| Credential ID | 562145 |
| Credential Number | 1.044563 |
| Credential Type | Physician/Surgeon |
| Business Address |
135 Division Street Ansonia CT 06401 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-07-10 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 376847 | CSP.0035456 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-17 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 135 DIVISION STREET |
| City | ANSONIA |
| State | CT |
| Zip Code | 06401 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Moll | 135 Division Street, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Judith Heller | 135 Division Street, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca Lynn Kunstadt | 7 Belleview Terrave, Ansonia, CT 06401 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Mann Inc | 505 Main St, Ansonia, CT 06401 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Domino's Pizza · Nbs Pizza Inc Dba | 137 N Main St, Ansonia, CT 06401 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Lisa Dilorenzo Sardo | 37 Kathy Lane, Ansonia, CT 06401 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Christi Lynn Crumb | 73 Woodbridge Ave, Ansonia, CT 06401 | Notary Public Appointment | 2020-04-09 ~ 2025-04-30 |
| Maureen E Witzmann | 68 Granite Terrace, Ansonia, CT 06401 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Anthony Wayne Md | 20 Westfield Avenue, Ansonia, CT 06401 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Raymond P Ragaini | 30 Winter Street, Ansonia, CT 06401 | Notary Public Appointment | 2017-07-01 ~ 2022-06-30 |
| Margaret Rivera | 34 Church Street, Ansonia, CT 06401 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Nadine Frey · Tonucci | 7 North Coe Lane, Ansonia, CT 06401 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Find all Licenses in zip 06401 | |||
| City | ANSONIA |
| Zip Code | 06401 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ANSONIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samuel Song | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Kunchang Song | 6 Settlers Grn, Pittsford, NY 14534-2763 | Physician/surgeon | 2006-12-20 ~ 2008-01-31 |
| Dae Y Song | 413 Ivanhoe Drive, Selma, AL 36701 | Physician/surgeon | 2001-09-10 ~ 2002-10-31 |
| Agnes S Song | 1098 Anderson Ave, Ft Lee, NJ 07024 | Physician/surgeon | 1996-08-14 ~ 1997-10-31 |
| Wenru Song | 213 Long Wharf Rd, Mystic, CT 06355 | Physician/surgeon | ~ |
| Soon Hi Song | The Michelan 1204, Seoul, 137870 | Physician/surgeon | 2005-10-31 ~ 2006-12-31 |
| Song Young Yu | 14a Quaker Ridge Dr., Brookville, NY 11545 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Rinn Song | 396 Beacon Street, Boston, MA 02116 | Physician/surgeon | 2011-07-01 ~ 2012-06-30 |
| Il Song Hahn | 15 Peck Hill Rd, Woodbridge, CT 06525-1301 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Chaewon Song | 25 Witch Meadow, Salem, CT 06420 | Physician/surgeon | 2006-04-18 ~ 2007-05-31 |
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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).