CRYSTAL H CHUNG PA
Physician Assistant


Address: 39 Cross Lane, Cos Cob, CT 06807

CRYSTAL H CHUNG PA (Credential# 742583) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 21, 2000. The license expiration date date is February 28, 2001. The license status is INACTIVE.

Business Overview

CRYSTAL H CHUNG PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000834. The credential type is physician assistant. The effective date is February 21, 2000. The expiration date is February 28, 2001. The business address is 39 Cross Lane, Cos Cob, CT 06807. The current status is inactive.

Basic Information

Licensee Name CRYSTAL H CHUNG PA
Credential ID 742583
Credential Number 23.000834
Credential Type Physician Assistant
Business Address 39 Cross Lane
Cos Cob
CT 06807
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-02-05
Effective Date 2000-02-21
Expiration Date 2001-02-28
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
208464 CSP.0027951 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2000-02-29 - 2001-02-28 INACTIVE
868427 70.951116 Emergency Medical Technician 1995-05-12 - 1997-07-01 INACTIVE

Office Location

Street Address 39 CROSS LANE
City COS COB
State CT
Zip Code 06807

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Song Ie Lee 2 Relay Pl, Cos Cob, CT 06807 Esthetician ~
Judith G Rein 444 Cognewaugh Road, Cos Cob, CT 06807 Licensed Clinical Social Worker 2020-07-01 ~ 2021-06-30
Beacon Point Marine 49 River Rd, Cos Cob, CT 06807 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Liliane Henry 70 Cos Cob Street Apt 2, Greenwich, CT 06807 Registered Nurse 2020-07-01 ~ 2021-06-30
Mary Jo L Whelan 22 Barton Lane, Cos Cob, CT 06807 Notary Public Appointment 2020-07-01 ~ 2025-06-30
Frank A Cantavero 90 Valley Road, Cos Cob, CT 06807 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Dominick J Mancuso 20 Robertson Lane, Cos Cob, CT 06807 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Kathleen M Fillion 34 1/2 River Rd, Cos Cob, CT 06807 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-13 ~ 2021-09-30
Margaret A Phillips 2 Waterfall Lane, Cos Cob, CT 06807 Notary Public Appointment 2020-09-01 ~ 2025-08-31
Joyce Somm 12 River Lane, Cos Cob, CT 06807 Real Estate Salesperson 2020-06-05 ~ 2021-05-31
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Competitor

Search similar business entities

City COS COB
Zip Code 06807
License Type Physician Assistant
License Type + County Physician Assistant + COS COB

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Dataset Information

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).

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