STEPHANIE V NG (Credential# 1327632) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
STEPHANIE V NG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055381. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 168 Linden St, Apt C2, New Haven, CT 06511. The current status is active.
| Licensee Name | STEPHANIE V NG |
| Credential ID | 1327632 |
| Credential Number | 1.055381 |
| Credential Type | Physician/Surgeon |
| Business Address |
168 Linden St, Apt C2 New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-06-28 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1233247 | CSP.0057925 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-07-08 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1490876 | 1.058978-RES | Resident Physician | 2017-07-17 | 2017-07-17 - 2020-06-30 | INACTIVE |
| Street Address | 168 Linden St, Apt C2 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie Green Md | 2 Fox Den Way, Woodbridge, CT 06525 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Stephanie A Salas | 450 W 42nd St Apt 38h, New York, NY 10036-8213 | Physician/surgeon | ~ |
| Stephanie L Kwei Md | Boardman 330, New Haven, CT 06520 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Stephanie Mullany | P.o Box 480, Terra Ceia, FL 34250 | Physician/surgeon | 2008-08-25 ~ 2009-08-31 |
| Stephanie D Prozora | 52 Magnolia Rd, Milford, CT 06461-9126 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Stephanie A Christensen | 16 Canborne Way, Madison, CT 06443 | Physician/surgeon | 1994-05-13 ~ 1995-05-31 |
| Stephanie J Saucier | 246 Richard St, Newington, CT 06111 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Stephanie J Krusz | 750 Reservoir Ave, Cranston, RI 02910 | Physician/surgeon | 2007-03-29 ~ 2008-05-31 |
| Stephanie H Swope Md | 295 Fox Drive, Boulder, CO 80303 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Stephanie M Brian Md | 92 Steeplechase Dr, Media, PA 19063-1975 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
Please comment or provide details below to improve the information on STEPHANIE V NG.
| 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).