ANNIE M WANG (Credential# 1286373) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ANNIE M WANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060289. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 5132 Avalon Drive West, Orange, CT 06477. The current status is active.
| Licensee Name | ANNIE M WANG |
| Credential ID | 1286373 |
| Credential Number | CSP.0060289 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5132 Avalon Drive West Orange CT 06477 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-05-22 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1279153 | 1.054116 | Physician/Surgeon | 2015-05-08 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 5132 Avalon Drive West |
| City | Orange |
| State | CT |
| Zip Code | 06477 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rakesh H Patel Md | 596 Cedar Grove, Orange, CT 06477 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| John D Mainwaring Dds | 240 Indian River Rd, Suite A7, Orange, CT 06477 | Dentist | 2020-08-01 ~ 2021-07-31 |
| Hea Sun Kwak | 477 Howellton Rd, Orange, CT 06477 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-08-31 |
| Munsons Candy Kitchen Inc | 109 Boston Post Rd, Orange, CT 06477 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Takashi Yoshikawa | 151 Old Tavern Road, Orange, CT 06477 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Yam Wong | 21 Country Club Close, Orange, CT 06477 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Shitong Liu | 519 Boston Post Rd Orange, Orange, CT 06477 | Nail Technician | ~ |
| Robert A Lamparski | Po B0x# 1183, Orange, CT 06477 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Rolando R Lopez | 22 Tyler City Rd, Orange, CT 06477 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Lisa Courtney | 470 Locust Drive, Orange, CT 06477 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Find all Licenses in zip 06477 | |||
| City | Orange |
| Zip Code | 06477 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Orange |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Annie Oommen | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2009-09-11 ~ 2011-02-28 |
| Annie L Morosky | 7 Littlefield Ln, Old Lyme, CT 06371-1115 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Annie J Chandrankunnel | 100 York St Apt 4j, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-09-17 ~ 2005-02-28 |
| Zi Wang | 111 Park St., New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Annie Augustine | 5 Stone Xing, South Windsor, CT 06074-6301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Annie Shaji Daniel | 25 Old Pasture Dr, East Longmeadow, MA 01028-3177 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Annie Shau Chau Kwan Dds | 360 State St Apt 904, New Haven, CT 06510-3604 | Controlled Substance Registration for Practitioner | 2011-10-27 ~ 2013-02-28 |
| Chiachien J Wang | 121 Barkledge Dr, Newington, CT 06111-2256 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Erica T Wang | 120 Dessa Dr, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Xiujie Wang Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Please comment or provide details below to improve the information on ANNIE M WANG.
| 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).