PHUONG N NGUYEN (Credential# 1213094) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 29, 2016. The license status is INACTIVE.
PHUONG N NGUYEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053145. The credential type is physician/surgeon. The effective date is March 1, 2015. The expiration date is February 29, 2016. The business address is 1907 Forrest Pointe Dr, East Greenbush, NY 12061-1777. The current status is inactive.
| Licensee Name | PHUONG N NGUYEN |
| Credential ID | 1213094 |
| Credential Number | 1.053145 |
| Credential Type | Physician/Surgeon |
| Business Address |
1907 Forrest Pointe Dr East Greenbush NY 12061-1777 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-06-12 |
| Effective Date | 2015-03-01 |
| Expiration Date | 2016-02-29 |
| Refresh Date | 2016-06-03 |
| Street Address | 1907 FORREST POINTE DR |
| City | EAST GREENBUSH |
| State | NY |
| Zip Code | 12061-1777 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| April Michelle Weils | 12 Emily Drive, East Greenbush, NY 12061 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Michael J Kenneally | 1 Thrush Terrace, East Greenbush, NY 12061 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Ryan T Preston | 1 Avian Drive, East Greenbush, NY 12061 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Barbara Elizabeth Wentworth | 10 Van Buren Avenue, East Greenbush, NY 12061 | Registered Nurse - Temporary | 2019-03-26 ~ 2019-07-24 |
| Roberto R Martinez Md | 624 Miller Road, East Greenbush, NY 12061 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Volney W Blodgett · Boston&maine Corp, Design Dept | Rr#1 - Box 224, E Greenbush, NY 12061 | Professional Engineer & Land Surveyor | 1993-01-22 ~ 1994-01-31 |
| Malavika Bandari | 705 Forrest Pointe Drive, East Greenbush, NY 12061 | Physician/surgeon | ~ |
| Shannon E Dugan | 65 Bloomingdale Avenue, East Greenbush, NY 12061 | Pharmacy Intern | 2005-09-14 ~ 2009-09-30 |
| Karl A Brandt · Brandt Poost Architects | 2 Middlesex Rd, E Greenbush, NY 12061 | Architect | 2004-08-01 ~ 2005-07-31 |
| Tiffany C Ashe | 737 Columbia Tpke, East Greenbush, NY 12061 | Registered Nurse | 2008-06-18 ~ 2009-06-30 |
| Find all Licenses in zip 12061 | |||
| City | EAST GREENBUSH |
| Zip Code | 12061 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + EAST GREENBUSH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Phuong X Nguyen | 174 Elizabeth St, Norwich, CT 06360 | Radiographer | 2012-08-01 ~ 2013-07-31 |
| Phuong P Nguyen | 557 Ridge Rd, Orange, CT 06477-2442 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| My-phuong Thi Nguyen | 132 Kimberley Road, Newington, CT 06111 | Radiographer | 2019-11-01 ~ 2020-10-31 |
| Phuong A Nguyen | 303 Birch St, Bristol, CT 06010 | Pharmacy Intern | 2006-09-08 ~ 2010-09-30 |
| Tammy Tam Phuong Nguyen | 327 Carlton Ave, Los Gatos, CA 95032 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Phuong Huu Nguyen | 121 Court D, Building 33, Bridgeport, CT 06610 | Nail Technician | 2020-04-13 ~ 2021-06-30 |
| Phuong Nguyen Toce | 15 Medford St, Glastonbury, CT 06033-2136 | Hairdresser/cosmetician | 2020-05-01 ~ 2022-04-30 |
| Phuong B T Nguyen | 85 Rhode Island Ave, Fairfield, CT 06824-5338 | Hairdresser/cosmetician | 2018-11-01 ~ 2020-10-31 |
| Kim-phuong T Nguyen | 1572 Sumner Ave, Springfield, MA 01118-1738 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Phuong T Nguyen | 53 Sunnyridge Dr, Plantsville, CT 06479-1438 | Home Improvement Salesperson | 2019-12-06 ~ 2020-11-30 |
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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).