CHARLES WANG
Controlled Substance Registration for Practitioner


Address: 250 Judwin Ave, New Haven, CT 06515-2318

CHARLES WANG (Credential# 972079) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is December 20, 2010. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

CHARLES WANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0049208. The credential type is controlled substance registration for practitioner. The effective date is December 20, 2010. The expiration date is February 28, 2013. The business address is 250 Judwin Ave, New Haven, CT 06515-2318. The current status is inactive.

Basic Information

Licensee Name CHARLES WANG
Credential ID 972079
Credential Number CSP.0049208
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 250 Judwin Ave
New Haven
CT 06515-2318
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-12-20
Effective Date 2010-12-20
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
987022 1.049587 Physician/Surgeon 2011-03-08 2011-03-08 - 2011-10-31 INACTIVE
511386 CSP.0044337 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-09-19 2008-09-19 - 2009-02-28 INACTIVE

Office Location

Street Address 250 JUDWIN AVE
City NEW HAVEN
State CT
Zip Code 06515-2318

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Competitor

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City NEW HAVEN
Zip Code 06515
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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Dataset Information

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).

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