MICHELLE M WANG
Controlled Substance Registration for Practitioner


Address: 111 Prospect St Apt 405, Stamford, CT 06901-1224

MICHELLE M WANG (Credential# 1079774) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

MICHELLE M WANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0052793. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2015. The expiration date is February 28, 2017. The business address is 111 Prospect St Apt 405, Stamford, CT 06901-1224. The current status is inactive.

Basic Information

Licensee Name MICHELLE M WANG
Credential ID 1079774
Credential Number CSP.0052793
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 111 Prospect St Apt 405
Stamford
CT 06901-1224
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2012-07-03
Effective Date 2015-03-01
Expiration Date 2017-02-28
Refresh Date 2018-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
1047193 2.010696 Dentist 2012-01-27 2015-08-01 - 2016-07-31 INACTIVE

Office Location

Street Address 111 PROSPECT ST APT 405
City STAMFORD
State CT
Zip Code 06901-1224

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Competitor

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City STAMFORD
Zip Code 06901
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD

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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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