THEODORE K CHANG (Credential# 1409655) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 2, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
THEODORE K CHANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0064944. The credential type is controlled substance registration for practitioner. The effective date is March 2, 2017. The expiration date is February 28, 2019. The business address is 88 Brownstone Way Apt 104, Englewood, NJ 07631-1202. The current status is lapsed.
| Licensee Name | THEODORE K CHANG |
| Credential ID | 1409655 |
| Credential Number | CSP.0064944 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
88 Brownstone Way Apt 104 Englewood NJ 07631-1202 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2017-03-02 |
| Effective Date | 2017-03-02 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1393476 | 2.011783 | Dentist | 2017-02-15 | 2017-02-15 - 2017-08-31 | INACTIVE |
| Street Address | 88 BROWNSTONE WAY APT 104 |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-1202 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yoojin Kim | 88 Brownstone Way Apt 104, Englewood, NJ 07631-1202 | Controlled Substance Registration for Practitioner | 2017-03-02 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grand Avenue Investments Lp - Series 8 | 285 Grand Avenue, Englewood, NJ 07631 | Securities - Exemptions | 2020-06-17 ~ |
| Cynthia D Rabb | 475 Grand Avenue, Englewood, NJ 07631 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Peter Joseph Powers | 402 West Ivy Lane, Englewood, NJ 07631 | Master's Level Social Worker | ~ |
| Cynthia Gayle Rowberg | 9 Brownstone Way, Englewood, NJ 07631 | Professional Counselor | ~ |
| Serhiy Fedorchenko | 191 Knickerbocker Rd, Englewood, NJ 07631 | Certified Residential Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Lauralee Yalden | 491 Cape May St, Englewood, NJ 07631 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Gerald Portman | 350 Engle St, Englewood, NJ 07631 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Westbury Sg LLC | 10 West Forest Ave, Englewood, NJ 07631 | Securities - Exemptions | 2020-04-01 ~ |
| Leslie J Rebarber · Binder | 190 Walnut St, Englewood, NJ 07631 | Licensed Nurse Midwife | 2020-04-01 ~ 2021-03-31 |
| Ysbriel Ledesma | 3112 Windsor Park Ct, Englewood, NJ 07631 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 07631 | |||
| City | ENGLEWOOD |
| Zip Code | 07631 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ENGLEWOOD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chang Na | 925 Mix Ave Apt 1p, Hamden, CT 06514-5119 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Chang B Son | 78 Olive St #210, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Chang Soo Kim | 35 Deacons Way, New Canaan, CT 06840-4221 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Suk C Chang Md | 214 Amity Rd, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Lin-yu D Chang | 15 Perry Ave Apt D10, Norwalk, CT 06850-1653 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Karolyn A Chang | 1426 Elm St, Peekskill, NY 10566-4802 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robert S Chang Md | 14 Cinnamon Ct, Holmdel, NJ 07733-1477 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mina Chang | 64 Robbins St, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Ho-choong Chang | 76 New Britain Ave, Hartford, CT 06106-3305 | Controlled Substance Registration for Practitioner | 2019-04-24 ~ 2021-02-28 |
| Constance T Chang | 22 Fisher St, Providence, RI 02906-2626 | 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).