FAN YANG (Credential# 1226376) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2017. The license expiration date date is December 31, 2017. The license status is INACTIVE.
FAN YANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053358. The credential type is physician/surgeon. The effective date is January 1, 2017. The expiration date is December 31, 2017. The business address is 57 Park Lane Dr, Albertson, NY 11507-1312. The current status is inactive.
| Licensee Name | FAN YANG |
| Credential ID | 1226376 |
| Credential Number | 1.053358 |
| Credential Type | Physician/Surgeon |
| Business Address |
57 Park Lane Dr Albertson NY 11507-1312 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-07-30 |
| Effective Date | 2017-01-01 |
| Expiration Date | 2017-12-31 |
| Refresh Date | 2018-04-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1226527 | CSP.0057265 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-07-31 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fan Yang | 13274 Lazzaro Ct, Estero, FL 33928-6390 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Fan Yang | 34 Maple Street, Norwalk, CT 06856 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Street Address | 57 PARK LANE DR |
| City | ALBERTSON |
| State | NY |
| Zip Code | 11507-1312 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| In Ok Kwak | 120 Croyden Ct, Albertson, NY 11507 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Utopia Towels Inc | 121 Sigsbee Ave, Albertson, NY 11507 | Importer of Bedding & Upholstered Furniture | 2016-09-13 ~ 2017-04-30 |
| Tena Abraham | 57 Deepdale Parkway, Albertson, NY 11507 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Payal Patel | 123 Dewey Ave, Albertson, NY 11507 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Harjinder K Deol | 22 Solar Ln, Albertson, NY 11507 | Registered Nurse | 2016-06-01 ~ 2017-05-31 |
| Mitali M Jhaveri | 56 Parkview Dr, Searington, NY 11507 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| James Wiesenfeld | 983 Willis Ave, Albertson, NY 11507 | Professional Engineer | 2003-02-01 ~ 2004-01-31 |
| Linda R Daniel | 92 Coventry Ave, Albertson, NY 11507 | Registered Nurse | 2014-04-01 ~ 2015-03-31 |
| Nooman Y Silat | 123 Schley Ave., Albertson, NY 11507 | Physician/surgeon | 2009-04-01 ~ 2010-04-30 |
| Alfonso Delia | 21 Willow Pl, Albertson, NY 11507 | Architect | 2002-08-01 ~ 2003-07-31 |
| Find all Licenses in zip 11507 | |||
| City | ALBERTSON |
| Zip Code | 11507 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ALBERTSON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yang-en Kao | Honolulu, HI 96816 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Thomas Jw Yang | 464 Congress Ave., New Haven, CT 06510 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Qinghua Yang | 1 Greenwich Pl, Shelton, CT 06484-7603 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Yeo Yang Shin | C/o Nvra, Southbury, CT 06488 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Kai H Yang | 1952 Whitney Ave Ste 14, New Haven, CT 06517-1209 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Sharon Yang Md | Center On Aging, Farmington, CT 06030 | Physician/surgeon | 2004-03-22 ~ 2005-02-28 |
| Cynthia Chen Yang | 275 Battery St, San Francisco, CA 94111 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Alice Lin Yang Md | 10 High Wood Rd, Bloomfield, CT 06002 | Physician/surgeon | 2001-02-26 ~ 2002-04-30 |
| Betty B Yang | 6 Fulton Place, West Hartford, CT 06107 | Physician/surgeon | 1997-10-01 ~ 1998-10-31 |
| Seung Chul Yang | 19462 Mesa Dr, Villa Park, CA 92861-2325 | Physician/surgeon | 2017-09-08 ~ 2018-08-31 |
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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).