JEAN WONG MD (Credential# 886342) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JEAN WONG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048139. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 455 Lewis Ave Ste 210, Meriden, CT 06451-2121. The current status is active.
| Licensee Name | JEAN WONG MD |
| Credential ID | 886342 |
| Credential Number | 1.048139 |
| Credential Type | Physician/Surgeon |
| Business Address |
455 Lewis Ave Ste 210 Meriden CT 06451-2121 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-09-21 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 922210 | CSP.0047443 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-04-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 455 LEWIS AVE STE 210 |
| City | MERIDEN |
| State | CT |
| Zip Code | 06451-2121 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rafal Barczak | 455 Lewis Ave Ste 208, Meriden, CT 06451-2121 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Housein M Wazaz | 455 Lewis Ave Ste 105, Meriden, CT 06451-2121 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| David M Sack | 455 Lewis Ave Ste 106, Meriden, CT 06451-2121 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Roopkiranjot K Kahlon | 455 Lewis Ave Ste 214, Meriden, CT 06451-2121 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Douglas Miller Md · Internal Medcine Associates, P.C. | 455 Lewis Ave Ste 200, Meriden, CT 06451-2121 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Laurence Nair Md | 455 Lewis Ave Ste 206, Meriden, CT 06451-2121 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth C Riordan Md | 435 Lewis Ave, Suite 104, Meriden, CT 06451-2121 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mohammad A Sharif | 455 Lewis Avenue, Suite 214, Meriden, CT 06451-2121 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Thomas S Jung | 455 Lewis Ave Ste 105, Meriden, CT 06451-2121 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Madhavi Bhoomagoud | 455 Lewis Ave Ste 105, Meriden, CT 06451-2121 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06451-2121 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert L. Torres | 309 Brownstone Ridge, Meriden, CT 06451 | Crane Operator | 2018-06-29 ~ 2020-06-28 |
| Lourdes Castro | 25 Lanoutte Steet, Meriden, CT 06451 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-11 ~ 2022-02-28 |
| Brittney Hilliard | 44 Eddy Avenue, Meriden, CT 06451 | Master's Level Social Worker | ~ |
| Super Laundry Mat | 311 West Main St, Meriden, CT 06451 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Sarah C Matteson | 18 Steuben St, Meriden, CT 06451 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Valerie Mari Dejesus | 36c Kiki Drive, Meriden, CT 06451 | Hairdresser/cosmetician | ~ |
| Tiffaney A Williams | 158 Byron Road, Meriden, CT 06451 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Meriden Oil Co | 30 Knob Hill Rd, South Meriden, CT 06451 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amal Abouchacra · Sam's Market | 167 Lewis Avenue, Meriden, CT 06451 | Grocery Beer | 2020-07-31 ~ 2021-07-30 |
| Carmen J Vazquez | 173 Fourth St, Meriden, CT 06451 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Find all Licenses in zip 06451 | |||
| City | MERIDEN |
| Zip Code | 06451 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MERIDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jean Z Wong | 1011 Via Del Pozo, Los Altos, CA 94022 | Physician/surgeon | 1996-12-09 ~ 1997-12-31 |
| James J Y Wong | 102 East Ave, Norwalk, CT 06851 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Anselm Wong Md | 38 Republic Dr Apt 129, Bloomfield, CT 06002-5465 | Physician/surgeon | 2012-09-01 ~ 2013-08-31 |
| Brian Wong | 462 Queen St., Southington, CT 06489 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kei Wong | 100 York Street, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Julielynn Y Wong | 828 Dundas St West, Toronto, ON M6J 1V3 | Physician/surgeon | ~ |
| Edison H Wong | 801 N Orange Ave, Orlando, FL 32801 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Jeffrey E Wong | 64 Avonwood Road Apt C-7, Avon, CT 06001 | Physician/surgeon | 2000-06-28 ~ 2001-06-30 |
| Ma Li Wong | 1580 Nw 10th Avenue, Miami, FL 33136 | Physician/surgeon | 1993-02-25 ~ 1994-02-28 |
| Serena L Wong | 145 Culver Ln, North Haven, CT 06473-3732 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).