RICHARD S CHANG (Credential# 563007) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2010. The license expiration date date is February 28, 2011. The license status is INACTIVE.
RICHARD S CHANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045425. The credential type is physician/surgeon. The effective date is March 1, 2010. The expiration date is February 28, 2011. The business address is 11995 Singletree Ln, Eden Prairie, MN 55344-5349. The current status is inactive.
| Licensee Name | RICHARD S CHANG |
| Credential ID | 563007 |
| Credential Number | 1.045425 |
| Credential Type | Physician/Surgeon |
| Business Address |
11995 Singletree Ln Eden Prairie MN 55344-5349 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-05-23 |
| Effective Date | 2010-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2011-06-01 |
| Street Address | 11995 SINGLETREE LN |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55344-5349 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dmitry Bolkhovets | 11995 Singletree Ln, Eden Prairie, MN 55344 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kavita Garg | 11995 Singletree Ln, Eden Prairie, MN 55344 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Clarence Coolidge Coleman | 11995 Singletree Ln, Eden Prairie, MN 55344 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
| Eduard Michel | 11995 Singletree Ln, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ira M Tyler | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Richard L Toothman | 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Christian Binder | Suite 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2012-02-01 ~ 2013-01-31 |
| Arlene Sussman | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Albert C Ybasco | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Gregg P Sydow | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Scott R Kerns | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jennifer Sur Gutierrez | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Reem S Awwad | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Alan S Muraki | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 55344-5349 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald T Nicell | 11995 Singletree Lane, Eden Prairie, MN 55344 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Neuroone Medical Technologies Corp | 7599 Anagram Dr, Eden Prairie, MN 55344 | Securities - Exemptions | 2020-05-15 ~ |
| Robert Edward Stone | 11995 Singletree Lane, Ste 500, Eden Prairie, MN 55344 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Daniel James Tangert | 6400 Fallbrook Rd., Eden Prairie, MN 55344 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Zinpro | 104000 Vikings Drive, Suite 240, Eden Prairie, MN 55344 | Commercial Feed | 2020-03-05 ~ 2020-12-31 |
| Michael Wallace Sentome | 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Stephanie Denise Johnson | 8423 Cortland Rd, Eden Prairie, MN 55344 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Ashley Nicole Ingram | 11000 Optum Circle, Eden Prairie, MN 55344 | Registered Nurse | 2020-01-16 ~ 2020-08-31 |
| Colleen M Steven | 13900 Chestnut Drive # 208, Eden Prarie, MN 55344 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Rebecca Dipofi Rogers | 13625 Technology Dr, Eden Prairie, MN 55344 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Find all Licenses in zip 55344 | |||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + EDEN PRAIRIE |
| 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 |
| Yu C Chang | 209-42 30th Ave., Bayside, NY 11360-2419 | Physician/surgeon | 2006-07-12 ~ 2007-08-31 |
| Sandy Chang | Madison, CT 06443 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Tina Yin Chang | 701 5th Ave, Seattle, WA 98104 | 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 |
| 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 |
| 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 |
| Winshih Chang | 664 Stoneleigh Ave Ste 300, Carmel, NY 10512-3990 | Physician/surgeon | 2016-11-09 ~ 2017-08-31 |
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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).