KEI WONG (Credential# 1461720) 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.
KEI WONG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057250. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 100 York Street, New Haven, CT 06511. The current status is active.
| Licensee Name | KEI WONG |
| Credential ID | 1461720 |
| Credential Number | 1.057250 |
| Credential Type | Physician/Surgeon |
| Business Address |
100 York Street New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-12-12 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1466566 | CSP.0067218 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-12-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1491050 | 1.059152-RES | Resident Physician | 2017-07-01 | 2017-07-01 - 2018-06-30 | INACTIVE |
| Street Address | 100 York Street |
| City | New Haven |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marc Auerbach Md | 100 York Street, New Haven, CT 06511 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David Enrique De Angel Sola | 100 York Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elizabeth B Claus | 100 York Street, New Haven, CT 06511 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Marianna Dmitrieva | 100 York Street, New Haven, CT 06511 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Jennie N Smith | 100 York Street, New Haven, CT 06511 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| John C Mcgann | 100 York Street, New Haven, CT 06511 | Licensed Clinical Social Worker | 2018-02-01 ~ 2019-01-31 |
| Joseph F. Nitkin | 100 York Street, New Haven, CT 06511 | Certified Public Accountant Firm Permit | 2007-01-01 ~ 2007-12-31 |
| Alican Dalkilic Md | 100 York Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Ali Hariri Md | 100 York Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1999-06-08 ~ 2000-02-28 |
| Joel L Axler | 100 York Street, New Haven, CT 06511 | Physician/surgeon | 1989-07-14 ~ 1991-11-30 |
| Find all Licenses in the same address | |||
| 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 |
|---|---|---|---|
| James J Y Wong | 102 East Ave, Norwalk, CT 06851 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Anselm Wong Md | 38 Republic Dr Apt 129, Bloomfield, CT 06002-5465 | Physician/surgeon | 2012-09-01 ~ 2013-08-31 |
| Jean Wong Md | 455 Lewis Ave Ste 210, Meriden, CT 06451-2121 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Julielynn Y Wong | 828 Dundas St West, Toronto, ON M6J 1V3 | Physician/surgeon | ~ |
| Brian Wong | 462 Queen St., Southington, CT 06489 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Edison H Wong | 801 N Orange Ave, Orlando, FL 32801 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Serena L Wong | 145 Culver Ln, North Haven, CT 06473-3732 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Waichi Wong | 21 Lisa Court #1, Waterbury, CT 06704 | Physician/surgeon | 1999-10-22 ~ 2000-05-31 |
| Jean Z Wong | 1011 Via Del Pozo, Los Altos, CA 94022 | Physician/surgeon | 1996-12-09 ~ 1997-12-31 |
| Jennifer L Wong | 800 Howard Avenue, New Haven, CT 06519 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).