AIVI TANG DOAN (Credential# 1352348) 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 INACTIVE.
AIVI TANG DOAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062628. 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 338 Town Colony Drive, Middletown, CT 06457. The current status is inactive.
| Licensee Name | AIVI TANG DOAN |
| Credential ID | 1352348 |
| Credential Number | CSP.0062628 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
338 Town Colony Drive Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2016-07-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1488436 | 1.057831-RES | Resident Physician | 2016-06-28 | 2016-06-28 - 2019-06-30 | INACTIVE |
| Street Address | 338 Town Colony Drive |
| City | Middletown |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cassandra L Dulepski | 338 Town Colony Drive, Middletown, CT 06457 | Notary Public Appointment | 2016-03-15 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | Middletown |
| Zip Code | 06457 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Middletown |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tam T Doan | 3227 Lester Ave, Clovis, CA 93619-9504 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Hai-tao Tang Md | 99 Woodland St, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2002-04-12 ~ 2003-02-28 |
| Karen Tang | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2013-03-11 ~ 2015-02-28 |
| Paul C Tang | 803 Country Club Dr, Durham, NC 27712-2479 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Johanna Mary Tang | 7 Acadia Lane, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-07-26 ~ 2021-02-28 |
| Helen Wong Tang Dmd | 93 Rampart Drive, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Youlan Tang | 1650 Grand Concourse, Bronx, NY 10457-7606 | Controlled Substance Registration for Practitioner | 2020-06-12 ~ 2021-02-28 |
| Yen-shin Tang | 263 Farmington Ave # Mc1935, Farmington, CT 06030-0002 | Controlled Substance Registration for Practitioner | 2009-09-14 ~ 2011-02-28 |
| Ching J Tang · Tang | 920 Burroughs Rd, Fairfield, CT 06825-3665 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Jeffrey E Tang · Tang Enterprises | 164 Szost Dr, Fairfield, CT 06824-4059 | Home Improvement Contractor | 2017-02-27 ~ 2017-11-30 |
Please comment or provide details below to improve the information on AIVI TANG DOAN.
| 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).