ANNA RAE B ONG (Credential# 896235) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2010. The license expiration date date is March 31, 2011. The license status is INACTIVE.
ANNA RAE B ONG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048210. The credential type is physician/surgeon. The effective date is April 1, 2010. The expiration date is March 31, 2011. The business address is 506 Whitney Ave Apt 3, New Haven, CT 06511-2367. The current status is inactive.
| Licensee Name | ANNA RAE B ONG |
| Credential ID | 896235 |
| Credential Number | 1.048210 |
| Credential Type | Physician/Surgeon |
| Business Address |
506 Whitney Ave Apt 3 New Haven CT 06511-2367 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2009-10-19 |
| Effective Date | 2010-04-01 |
| Expiration Date | 2011-03-31 |
| Refresh Date | 2011-07-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 441418 | CSP.0039351 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-06-19 | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 506 WHITNEY AVE Apt 3 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-2367 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anna K Henisz | P.o.box 414, Washington, CT 06794-0414 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Anna Jamrozik | 69 East Ave, Norwalk, CT 06851-4904 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Anna Sastre | 852 Plainville Ave, Farmington, CT 06032-3185 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Anna T. Vischio | 260 W Pines Dr, Southington, CT 06489-6019 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Anna Eisenstein | 271 Three Mile Course, Guilford, CT 06437 | Physician/surgeon | 2020-06-17 ~ 2021-02-28 |
| Anna L Holness | 609 Forest Ave, Mamaroneck, NY 10543 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Anna N Zvereva | 24 Hospital Ave, Danbury, CT 06810 | Physician/surgeon | 1999-08-19 ~ 2000-06-30 |
| Anna Aronova | 480 Bedford Rd, Chappaqua, NY 10514-1715 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Anna Moniodis | 190 W Broad St, Stamford, CT 06902-3633 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Anna L Shender Do | 66 Glenbrook Rd Ste 400, Stamford, CT 06902 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on ANNA RAE B ONG.
| 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).