CHRISTOPHER SONG (Credential# 898461) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CHRISTOPHER SONG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046809. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 365 Montauk Ave, New London, CT 06320. The current status is active.
| Licensee Name | CHRISTOPHER SONG |
| Credential ID | 898461 |
| Credential Number | CSP.0046809 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
365 Montauk Ave New London CT 06320 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-10-19 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1067599 | 1.050910 | Physician/Surgeon | 2012-05-15 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 365 Montauk Ave |
| City | New London |
| State | CT |
| Zip Code | 06320 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy Y Tran | 365 Montauk Ave, New London, CT 06320-4700 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| David F Reisfeld | 365 Montauk Ave, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicholas Wyatt Miller | 365 Montauk Ave, New London, CT 06320-4700 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Courtney Elizabeth Peck | 365 Montauk Ave, New London, CT 06320-4700 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Prakash Kandel | 365 Montauk Ave, New London, CT 06320-4700 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Susan Collemer | 365 Montauk Ave, New London, CT 06320 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Raymond Mark Villalobos | 365 Montauk Ave, New London, CT 06320-4700 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Seth P Dubin, Pa | 365 Montauk Ave, New London, CT 06320-4700 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Lawrence + Memorial Hospital | 365 Montauk Ave, New London, CT 06320-4700 | General Hospital | 2019-04-01 ~ 2021-03-31 |
| Neil Panchal | 365 Montauk Ave, New London, CT 06320-4700 | Controlled Substance Registration for Practitioner | 2020-03-09 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
| Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
| Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
| Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
| Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
| Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06320 | |||
| City | New London |
| Zip Code | 06320 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New London |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jin Song | 141-09 28th Ave, 2b, Flushing, NY 11354 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jae W Song | 360 State St Apt 2403, New Haven, CT 06510-3623 | Controlled Substance Registration for Practitioner | ~ |
| Walter Song | Marb 4th Flr, Farmington, CT 06030 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Kigon Song Dds | 9 Elderslie Ln, Woodbridge, CT 06525-1038 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shuhua Song | 1 Bay Club Drive, Bayside, NY 11360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jenny Song Aprn | 950 Farmington Ave Apt C 20, New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Eunice S Song | 82 Brittany Farms Rd Apt 233, New Britain, CT 06053-1246 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Mingjun Song | 5 Perryridge Road, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chaewon Song Md | 22 Eastham Bridge Rd, East Hampton, CT 06424 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Seung Yub Song | 26 Belden Ave Unit 2128, Norwalk, CT 06850-3384 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).