DIANE CHAN
Controlled Substance Registration for Practitioner


Address: 25 Thatcher St Apt 1, Brookline, MA 02446-3532

DIANE CHAN (Credential# 1236304) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

DIANE CHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058294. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 25 Thatcher St Apt 1, Brookline, MA 02446-3532. The current status is lapsed.

Basic Information

Licensee Name DIANE CHAN
Credential ID 1236304
Credential Number CSP.0058294
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 25 Thatcher St Apt 1
Brookline
MA 02446-3532
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2014-07-31
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Office Location

Street Address 25 THATCHER ST APT 1
City BROOKLINE
State MA
Zip Code 02446-3532

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Competitor

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City BROOKLINE
Zip Code 02446
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKLINE

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Chan K Rha Md 39 2nd St, Stamford, CT 06905 Controlled Substance Registration for Practitioner 2007-03-01 ~ 2008-02-29
Sirius S Chan Md Greenwich, CT 06836 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Wayne W Chan 185 Santa Fe Ave, Hamden, CT 06517-1531 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Kaylund R Chan 5 Perryridge Rd, Greenwich, CT 06830-4697 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Kathleen Chan 116 Crown St Apt 5b, New Haven, CT 06510-3044 Controlled Substance Registration for Practitioner 2015-06-23 ~ 2017-02-28
Hannah Chan 20 York St, New Haven, CT 06510-3220 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Lily L Chan Dmd 600 Asylum Ave Apt.1022, Hartford, CT 06105 Controlled Substance Registration for Practitioner 2004-02-29 ~ 2005-02-28
Michael P Chan 1132 Avalon Dr E, Orange, CT 06477-3639 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Florence Chan 82 Wendell Lane, Glastonbury, CT 06033 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Chan Kwon Chung 20 Front St Apt 410, Hartford, CT 06103-2850 Controlled Substance Registration for Practitioner ~

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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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