NELLY TAN (Credential# 943860) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 21, 2010. The license expiration date date is September 30, 2011. The license status is INACTIVE.
NELLY TAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049294. The credential type is physician/surgeon. The effective date is October 21, 2010. The expiration date is September 30, 2011. The business address is 500 Landfair Ave, Los Angeles, CA 90024-2104. The current status is inactive.
| Licensee Name | NELLY TAN |
| Credential ID | 943860 |
| Credential Number | 1.049294 |
| Credential Type | Physician/Surgeon |
| Business Address |
500 Landfair Ave Los Angeles CA 90024-2104 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-10-21 |
| Effective Date | 2010-10-21 |
| Expiration Date | 2011-09-30 |
| Refresh Date | 2012-01-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 511431 | CSP.0044364 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-09-24 | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 500 LANDFAIR AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90024-2104 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mazon: A Jewish Response To Hunger | 10850 Wilshire Blvd. Ste 400, Los Angeles, CA 90024 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Triton Pacific Investment Corporation, Inc. | 10877 Wilshire Blvd 12th Fl, Los Angeles, CA 90024 | Securities - Coordination | 2019-03-17 ~ 2020-03-17 |
| Shamrock Capital Content Fund II, Lp | 1100 Glendon Avenue, Los Angeles, CA 90024 | Securities - Exemptions | 2020-02-28 ~ |
| Aaamerican Opportunity Fund, LLC | 1109 Westwood Blvd., Los Angeles, CA 90024 | Securities - Exemptions | 2020-01-21 ~ |
| Aurora Equity Partners Vi, Lp | 10877 Wilshire Blvd., Los Angeles, CA 90024 | Securities - Exemptions | ~ |
| Andmark Investment Fund V, LLC | 10990 Wilshire Blvd., Los Angeles, CA 90024 | Securities - Exemptions | ~ |
| Joshua Freedman | 921 Westwood Blvd #201, Los Angeles, CA 90024 | Physician/surgeon | 2019-10-24 ~ 2020-07-31 |
| Mark Deantonio | Ucla Npi, Los Angles, CA 90024 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Nadia Chugal | 923 Levering Avenue, Apt. 501, Los Angeles, CA 90024 | Dentist | 2018-05-01 ~ 2019-04-30 |
| Puma Biotechnology, Inc. · N/a | 10880 Wilshire Blvd. #2150, Los Angeles, CA 90024 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2016-05-18 ~ |
| Find all Licenses in zip 90024 | |||
| City | LOS ANGELES |
| Zip Code | 90024 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + LOS ANGELES |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nelly A Tejada | 1256 East Pebblebrook Drive, Greencastle, PA 17225 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Nelly E Torres · Nelly E Torres | 2807 Logandale Drive, Orlando, FL 32817 | Hairdresser/cosmetician | 2001-10-11 ~ 2002-08-31 |
| Nelly R Rabinowitz | 7102 55th Ave S, Seattle, WA 98118-4206 | Physician Assistant | 2014-04-01 ~ 2015-03-31 |
| La Cocina De Nelly Restaurant LLC | 253 S Colony Rd, Wallingford, CT 06492-4518 | Bakery | ~ |
| Nelly Ramos | 1440 Allerton Ave Fl 2, Bronx, NY 10469-5639 | Radiographer | 2020-02-18 ~ 2020-12-31 |
| Nelly A Bruckner | 14 Welcome Pl, Manchester, CT 06040-3721 | Emergency Medical Technician | 2019-07-01 ~ 2022-06-30 |
| Ellen Nelly | 326 Three Mile Crs, Guilford, CT 06437 | Hairdresser/cosmetician | 1995-08-21 ~ 1996-05-31 |
| Nelly Reyes | 165 South St, Hartford, CT 06114 | Pharmacy Technician | 2001-09-20 ~ 2002-03-31 |
| Nelly Tsivina | 169 Terrace Ave Apt 6, Port Chester, NY 10573-3250 | Acupuncturist | 2016-10-01 ~ 2018-09-30 |
| Nelly B Malangko | 71 Messenger Street Apt. 760, Plainville, MA 02762 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Please comment or provide details below to improve the information on NELLY TAN.
| 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).