ALEXANDER F PHAN (Credential# 1179695) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 16, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
ALEXANDER F PHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055909. The credential type is controlled substance registration for practitioner. The effective date is August 16, 2013. The expiration date is February 28, 2015. The business address is 25 Palmetto Dr Apt F, Alhambra, CA 91801-5906. The current status is inactive.
| Licensee Name | ALEXANDER F PHAN |
| Credential ID | 1179695 |
| Credential Number | CSP.0055909 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
25 Palmetto Dr Apt F Alhambra CA 91801-5906 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2013-08-16 |
| Effective Date | 2013-08-16 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1173566 | 23.002951 | Physician Assistant | 2013-08-07 | 2013-08-07 - 2014-08-31 | INACTIVE |
| Street Address | 25 PALMETTO DR APT F |
| City | ALHAMBRA |
| State | CA |
| Zip Code | 91801-5906 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lawrence K Truong | 1712 S Sierra Vista Ave, Alhambra, CA 91801 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jennifer Woodruff | 405 Cynthia, Alhambra, CA 91801 | Registered Nurse | 1992-10-23 ~ 1993-11-30 |
| Connie T Sung | 504 N 2nd Street #c, Alhambra, CA 91801 | Occupational Therapist | ~ 1997-07-31 |
| David Lin | 398 South 8th Street, Alhambra, CA 91801 | Physician/surgeon | 2002-06-07 ~ 2003-07-31 |
| Sanjeet S Dadwal | 401 E. Baystate Street, Alhambra, CA 91801 | Physician/surgeon | 2001-03-26 ~ 2002-05-31 |
| Yuqun Zhang | 221 W Linda Vista Ave Apt 202, Alhambra, CA 91801-4791 | Massage Therapist | 2018-11-14 ~ 2020-05-31 |
| Connie Y Chu | 816 S Stoneman Ave Apt F, Alhambra, CA 91801-5809 | Advanced Practice Registered Nurse | 2014-08-01 ~ 2015-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kwokyan William Tsoi | P.o. Box 38, Alhambra, CA 91802 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Keck School of Medicine- University of Southern California | 1000 S Fremont Ave Bldg A-6, Alhambra, CA 91803-8800 | Public Charity-exempt From Financial Requirements | 2011-11-16 ~ |
| Cheryl E Fluet | 1209 W Ramona Rd, Alhambra, CA 91803 | Licensed Practical Nurse | 1995-03-14 ~ 1996-01-31 |
| City | ALHAMBRA |
| Zip Code | 91801 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ALHAMBRA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hy V Phan Md | 23 Barnett St C22, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2013-05-07 ~ 2015-02-28 |
| Tuong-vi Phan | 40 Prospect Ave Bld 2 Apt 1k, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Loan T Phan | 12 Donna Rd, Worcester, MA 01609-1145 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew S Phan | 2800 Main St Level 3 Dept of Medicine, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2017-06-19 ~ 2019-02-28 |
| Alexander Mahendran | Po Box 187, Thompson, CT 06277-0187 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexander C Ho | 34 Maple St, Norwalk, CT 06850-3815 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexander Weiss | 111 Park St Apt 10a, New Haven, CT 06511-5459 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Alexander Volchonok | 4 Dearfield Dr Ste 104, Greenwich, CT 06831-5351 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexander Ryzhikov | 152 Temple St Apt 107, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Alexander Voldman, Do | 500 West Ave Apt 514, Norwalk, CT 06850-4065 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ALEXANDER F PHAN.
| 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).