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.
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.
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 |
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 |
Street Address | 39 CROSS LANE |
City | COS COB |
State | CT |
Zip Code | 06807 |
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 |
Find all Licenses in zip 06807 |
City | COS COB |
Zip Code | 06807 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + COS COB |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Crystal A Huynh | 14 Heather Ln, Wilton, CT 06897-4132 | Physician Assistant | 2013-05-22 ~ 2013-11-30 |
Kristin Hall | 39 Crystal St, New Canaan, CT 06840 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Crystal L Rose Pa-c | 216 Church St, Newington, CT 06111 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Crystal Clarkin Pa | 2 Johnnycake Ln, Ivoryton, CT 06442 | Physician Assistant | 2007-07-02 ~ 2008-06-30 |
Jaclyn D Colfer | 22 Crystal Brook Rd, Wolcott, CT 06716-1343 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Crystal D Ryder Pa-c | 96 Burr Road, Cochecton, NY 12726 | Physician Assistant | 2019-08-01 ~ 2020-07-31 |
Chung Ah Caps Mfg Ltd | Sui Chung Tong, Ha Kwok Hui Zhou City | Manufacturer of Bedding & Upholstered Furniture | 2009-05-01 ~ 2010-04-30 |
Henry G Chung · House of Chung | 365 Broad Street, Manchester, CT 06040 | Restaurant Liquor | ~ 1999-11-22 |
Jin H Chung | 211 Maple Dr, Coventry, CT 06238-2833 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
Eui K Chung Md | 255 Pomfret St, Putnam, CT 06260 | Physician/surgeon | 2006-03-22 ~ 2007-05-31 |
Please comment or provide details below to improve the information on CRYSTAL H CHUNG PA.
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).