CHAN CHU ANDRIES (Credential# 743751) is licensed (Physician Assistant) 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.
CHAN CHU ANDRIES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002002. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 75 Goldberg Rd, Colchester, CT 06415-2145. The current status is active.
| Licensee Name | CHAN CHU ANDRIES |
| Credential ID | 743751 |
| Credential Number | 23.002002 |
| Credential Type | Physician Assistant |
| Business Address |
75 Goldberg Rd Colchester CT 06415-2145 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-10-18 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 487394 | CSP.0042822 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-11-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 843389 | 70.003656 | Emergency Medical Technician | 2003-06-18 | 2005-09-15 - 2007-06-30 | INACTIVE |
| Street Address | 75 GOLDBERG RD |
| City | COLCHESTER |
| State | CT |
| Zip Code | 06415-2145 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew Gerard Sinkewicz | 39 Goldberg Rd, Colchester, CT 06415-2145 | Behavior Analyst | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley Shattuck | 66 South Road, Colchester, CT 06415 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Linda Smith · Lamb | 25 Loomis Road, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Vincent Vespa Jr | 671 Norwich Ave, Colchester, CT 06415 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Deborah L Strong · Bowen | 98 Lebanon Avenue, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Lucy A Boisse | 115 Stanavage Road, Colchester, CT 06415 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Alicia R Bohnenkamper | 906 Canterbury Lane, Colchester, CT 06415 | Notary Public Appointment | 2011-09-28 ~ 2016-09-30 |
| Anna M Sofia | 75 B Elmwood Heights, Colcheshter, CT 06415 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| J J Noels Supermarket | 15 Broadway, Colchester, CT 06415 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Linda S Kvasnik | 69 Colburn Dr, Colchester, CT 06415 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| James W Bansemer · General Builders & Remodelers | 87 O'connell Road, Colchester, CT 06415 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Find all Licenses in zip 06415 | |||
| City | COLCHESTER |
| Zip Code | 06415 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + COLCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly Pui Lei Chan | 32 Monroe Street Apt 8g, New York, NY 10002 | Physician Assistant | 2020-03-05 ~ 2020-10-31 |
| Brenda Elizabeth Chan | 7 Hallihan Ln, Ansonia, CT 06401-2411 | Occupational Therapist Assistant | 2013-08-01 ~ 2015-07-31 |
| Fred S Chan · Chan's Choice Restaurant | 345 Main Street, Norwalk, CT 06851 | Restaurant Liquor | 2003-06-19 ~ 2004-05-24 |
| Nicole L Andries | 102 Berrington Rd, Leominster, MA 01453-5247 | Registered Nurse | 2013-04-01 ~ 2014-04-30 |
| Mutino & Chan Cpa LLP | 6 East39th St., New York, NY 10016 | Certified Public Accountant Firm Permit | 2019-01-01 ~ 2019-12-31 |
| Chan Wai Enterprise Co Ltd | 392 Wanshou Rd, Taoyuan Hsien | Manufacturer of Bedding & Upholstered Furniture | 2008-05-01 ~ 2009-04-30 |
| Amy M Chan | 1412 Whitney Ave E2, Hamden, CT 06517 | Resident Physician | 2015-07-01 ~ 2020-06-30 |
| Brandon W. Chan | 126 Marlboro Dr, Mcmurray, PA 15317-3651 | Physician/surgeon | 2014-03-28 ~ 2014-09-30 |
| Konrad K-y Chan | 700 Sir John A Mac, Kingston On K7m 1a4 | Physician/surgeon | ~ 1999-06-30 |
| Jae Chan Kim | 43 Tweed Blvd, Nyack, NY 10960 | Physician/surgeon | 2003-01-02 ~ 2003-12-31 |
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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).