JASON L CHANG MD (Credential# 996977) 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.
JASON L CHANG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050089. 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 55 Meriden Ave Ste 1a, Southington, CT 06489-3237. The current status is active.
| Licensee Name | JASON L CHANG MD |
| Credential ID | 996977 |
| Credential Number | CSP.0050089 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
55 Meriden Ave Ste 1a Southington CT 06489-3237 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-05-13 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 991550 | 1.049717 | Physician/Surgeon | 2011-04-13 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 55 MERIDEN AVE STE 1A |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489-3237 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Inku K Lee | 55 Meriden Ave Ste 3g, Southington, CT 06489-3237 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah M Moon | 321 Pilgrim Lane, Southington, CT 06489 | Esthetician | ~ |
| Joanna Milewski | 23 Stacy Cate Drive, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Richard M Testa | 81 Winter Park Road, Southington, CT 06489 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Valley Roofing LLC | 88 Ladyslipper Lane, Southington, CT 06489 | Home Improvement Contractor | ~ |
| Dunkin Donuts · New England Donuts LLC | 856 Queen St, Southington, CT 06489 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Elizabeth E Pizzuto | 45 Water Street, Southington, CT 06489 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Nicholas C Ingel | 515 West Street, Southington, CT 06489 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2021-08-31 |
| Tyrone J Correa | 84 Minthal Drive, Southington, CT 06489 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Marilyn F Coppola | 114 Spring Hill Rd, Southington, CT 06489 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Christine M Liebler | 30 Sultana Terrace, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06489 | |||
| City | SOUTHINGTON |
| Zip Code | 06489 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SOUTHINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason S Chang Md | 40 Temple St Ste 6c, New Haven, CT 06510-2715 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Chang Na | 925 Mix Ave Apt 1p, Hamden, CT 06514-5119 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Chang B Son | 78 Olive St #210, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Chang Soo Kim | 35 Deacons Way, New Canaan, CT 06840-4221 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lin-yu D Chang | 15 Perry Ave Apt D10, Norwalk, CT 06850-1653 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Suk C Chang Md | 214 Amity Rd, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Soo Jin Chang | 327 Old Bridge Ln Unit 327, Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 2013-01-08 ~ 2015-02-28 |
| Karolyn A Chang | 1426 Elm St, Peekskill, NY 10566-4802 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Zenas Chang | 199 Foxboro Dr., Newington, CT 06111 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Constance T Chang | 22 Fisher St, Providence, RI 02906-2626 | 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).