TIEN PHUC DO (Credential# 1295556) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is June 23, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
TIEN PHUC DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0060735. The credential type is controlled substance registration for practitioner. The effective date is June 23, 2015. The expiration date is February 28, 2017. The business address is 2013 Cherrytree Ln, Winterville, NC 28590. The current status is inactive.
| Licensee Name | TIEN PHUC DO |
| Credential ID | 1295556 |
| Credential Number | CSP.0060735 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2013 Cherrytree Ln Winterville NC 28590 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2015-06-23 |
| Effective Date | 2015-06-23 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1279488 | 1.054248 | Physician/Surgeon | 2015-06-15 | 2016-01-01 - 2016-12-31 | INACTIVE |
| Street Address | 2013 CHERRYTREE LN |
| City | WINTERVILLE |
| State | NC |
| Zip Code | 28590 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Londra Lynn Fleming | 1230 Forlines Road, Winterville, NC 28590 | Registered Nurse - Temporary | 2020-03-26 ~ 2020-07-24 |
| Margo G Babb | 2133 Cornerstone Drive, Winterville, NC 28590 | Licensed Clinical Social Worker | 2018-11-01 ~ 2019-10-31 |
| Meghan Grace Roche | 1310 Thomas Langston Rd, Winterville, NC 28590 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Felicia Johnston | 617 Jade Lane, Winterville, NC 28590 | Registered Nurse | 2019-11-05 ~ 2020-11-30 |
| Joseph D Babb Md | 2133 Cornerstone Dr, Winterville, NC 28590 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
| David W Wilson | 1400 Trafalgar Drive, Winterville, NC 28590 | Real Estate Salesperson | 2007-02-07 ~ 2007-05-31 |
| Emily F Smith | 2508 A Saddleback Dr, Winterville, NC 28590 | Licensed Practical Nurse | 2016-05-01 ~ 2017-04-30 |
| William K Jervis | 1214 Trafalgar Drive, Winterville, NC 28590 | Real Estate Salesperson | ~ |
| Nancy S Bunch · Bertotti | 709 Foxchase Lane, Winterville, NC 28590 | Registered Nurse | 2012-10-01 ~ 2013-09-30 |
| Gordana Mabry | 605 Huff Drive, Winterville, NC 28590 | Registered Nurse | 2002-09-13 ~ 2003-08-31 |
| Find all Licenses in zip 28590 | |||
| City | WINTERVILLE |
| Zip Code | 28590 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WINTERVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tien Li Hsiao | Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Phuong Q Tien | 65 Prospect St Apt T-5, Stamford, CT 06901 | Controlled Substance Registration for Practitioner | 2007-08-30 ~ 2008-02-29 |
| Irene Y Tien Md | 44 Brittany Farms Road, New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Ngoc Phuc Limited Co | 1915 Xuan Thoi Thuong Ward, Ho Chi Minh City, 70000 | Manufacturer of Bedding & Upholstered Furniture | 2012-05-01 ~ 2013-04-30 |
| Phuc Loc Thinh Phat Co Ltd | 66 Co Cay Xoai St, Bien Hoa, Dong Nai, VN 810000 | Manufacturer of Bedding & Upholstered Furniture | 2019-10-23 ~ 2020-04-30 |
| Tien Trien Vietnam Co Ltd | Ong Dong Quarter, Tan Hiep Ward, Tan Uyen Binh Duong, VN 820000 | Manufacturer of Bedding & Upholstered Furniture | 2020-03-30 ~ 2021-04-30 |
| Tien Dat Furniture Corp | Phu Tai Industrial Zone, Binh Dinh Province, 59 | Manufacturer of Bedding & Upholstered Furniture | 2016-05-01 ~ 2017-04-30 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).