ANDREW D WAN (Credential# 1442604) 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.
ANDREW D WAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057018. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 701 Ridge Hill Blvd Unit 6l, Yonkers, NY 10710-7720. The current status is active.
| Licensee Name | ANDREW D WAN |
| Credential ID | 1442604 |
| Credential Number | 1.057018 |
| Credential Type | Physician/Surgeon |
| Business Address |
701 Ridge Hill Blvd Unit 6l Yonkers NY 10710-7720 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-09-11 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1442886 | CSP.0066606 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-09-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 701 RIDGE HILL BLVD UNIT 6L |
| City | YONKERS |
| State | NY |
| Zip Code | 10710-7720 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rasheeda Glover | 1767 Central Park Ave, Yonkers, NY 10710 | Tax Preparer/facilitator Permit | 2020-06-25 ~ 2022-06-30 |
| Sofia Naz | 199 Underhill Street, Yonkers, NY 10710 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Marc E Giles | 35 East Grassy Sprain Road, Yonkers, NY 10710 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Donna Phanumas Md | 12 Carlton Ave, Yonkers, NY 10710 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Catherine Medina | 46 Curtis Lane, Yonkers, NY 10710 | Master's Level Social Worker | 2020-03-01 ~ 2021-02-28 |
| Michael O D'oyley | 87 Shoreview Dr Apt 1, Yonkers, NY 10710 | Electrical Unlimited Journeyperson | 2020-04-28 ~ 2020-09-30 |
| Mary T Slavik | 31 Cherrywood Road, Yonkers, NY 10710 | Notary Public Appointment | 2015-02-01 ~ 2020-01-31 |
| Amy Rodriguez | 261 Roundhill Dr, Yonkers, NY 10710 | Emergency Medical Technician | ~ |
| Peranandan Jayapalan | 2 Grange Avenue Apt 2, Yonkers, NY 10710 | Physical Therapist | 2020-03-11 ~ 2020-09-30 |
| Costas C. Kreatsoulas | 9 Ascot Road, Yonkers, NY 10710 | Tax Preparer/facilitator Permit | 2020-03-06 ~ 2022-03-31 |
| Find all Licenses in zip 10710 | |||
| City | YONKERS |
| Zip Code | 10710 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + YONKERS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew S Hsu Md | 276 1st Ave, Milford, CT 06460-5209 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Andrew S Whyte Do | 17 Hi Ann Ct, Bethany, CT 06524-3259 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Andrew S Gee | 116 Ardmore Rd, W Hartford, CT 06119 | Physician/surgeon | 2001-06-29 ~ 2002-06-30 |
| Andrew J Panettieri | Rt 7 So Po Box 282, Shelburne, VT 05482 | Physician/surgeon | 1998-01-02 ~ 1999-01-31 |
| Andrew E Price | 530 First Ave, New York, NY 10016 | Physician/surgeon | 1998-03-04 ~ 1999-03-31 |
| Andrew J. Illig | 390 1st Ave Apt 9c, New York, NY 10010-6521 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Andrew W Litt | New York, NY 10024 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Andrew Scatola | 80 Seymour St, Hartford, CT 06102 | Physician/surgeon | ~ |
| Andrew Blazar | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | ~ |
| Andrew Le | 701 5th Avenue, Seattle, WA 98104 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on ANDREW D WAN.
| 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).