SOPHIA WANG (Credential# 1467108) 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 ACTIVE.
SOPHIA WANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067229. 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 1 Primrose Ln, East Brunswick, NJ 08816-5512. The current status is active.
| Licensee Name | SOPHIA WANG |
| Credential ID | 1467108 |
| Credential Number | CSP.0067229 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1 Primrose Ln East Brunswick NJ 08816-5512 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-01-18 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1467057 | 1.057300 | Physician/Surgeon | 2018-01-18 | 2019-03-01 - 2020-02-29 | ACTIVE |
| Street Address | 1 PRIMROSE LN |
| City | EAST BRUNSWICK |
| State | NJ |
| Zip Code | 08816-5512 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Bestawros | 23 Edinburg Lane, East Brunswick, NJ 08816 | Pharmacy Intern | 2017-08-22 ~ 2021-09-30 |
| Athem, LLC · N/a | 40f Cotters Lane, East Brunswick, NJ 08816 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2020-05-14 ~ |
| Donghao Liu | 12 Prince Road, East Brunswick, NJ 08816 | Professional Engineer | 2020-05-04 ~ 2021-01-31 |
| Kaitlyn S Jones | 1 Cider Court, East Brunswick, NJ 08816 | Athletic Trainer | 2020-06-01 ~ 2021-05-31 |
| Casper Pharma LLC · N/a | 2 Tower Center Boulevard, Suite 1101c, East Brunswick, NJ 08816 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2020-04-07 ~ |
| Michael A Mcsweeney | 12 Surrey Lane, E Brunswick, NJ 08816 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Syed Maaz Bin Mansoor | 86 Buttonwood Drive, East Brunswick, NJ 08816 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jiang Yu | 49 Cortland Dr, E Burnswick, NJ 08816 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Heritage Pharmaceuticals Inc. · Avet Pharmaceuticals, Inc | 1 Tower Center Boulevard Suite 1700, East Brunswick, NJ 08816 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2018-07-18 ~ |
| Mark M Ebrahim | 22 Landsdowne Rd, East Brunswick, NJ 08816 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 08816 | |||
| City | EAST BRUNSWICK |
| Zip Code | 08816 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST BRUNSWICK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sophia Kiciuk | 11 Yale Pl, Armonk, NY 10504-2424 | Controlled Substance Registration for Practitioner | 2016-09-03 ~ 2017-02-28 |
| Zi Wang | 111 Park St., New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sophia Dominique Delpe | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-09 ~ 2019-02-28 |
| Sophia D Delpe | 400 Blake St Apt 4105, New Haven, CT 06515-4418 | Controlled Substance Registration for Practitioner | 2013-04-12 ~ 2015-02-28 |
| Sophia Elissa Altin | 789 Howard Ave, New Haven, CT 06519-1304 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sophia A Shirley Aprn | 150 Southwood Ter, Southbury, CT 06488-1840 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roger Wang Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Tracy S Wang Md | 109 Church St Apt 401, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Oliver J Wang Md | 28 Elmwood Rd, New Haven, CT 06515-2242 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Lu-hua Wang Md | 151-80 17th, White Stone, NY 11357 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
Please comment or provide details below to improve the information on SOPHIA WANG.
| 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).