EDWARD Y CHUNG MD (Credential# 149728) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
EDWARD Y CHUNG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0011272. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 14 Locust Crest Ct, Poughkeepsie, NY 12603. The current status is inactive.
| Licensee Name | EDWARD Y CHUNG MD |
| Credential ID | 149728 |
| Credential Number | CSP.0011272 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
14 Locust Crest Ct Poughkeepsie NY 12603 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 543558 | 1.021055 | Physician/Surgeon | 1979-01-31 | 2013-08-01 - 2014-07-31 | INACTIVE |
| Street Address | 14 LOCUST CREST CT |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12603 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alison Rose Marques | 24 Hornbeck Road, Poughkeepsie, NY 12603 | Registered Nurse | ~ |
| Kerry Ann G Francis | 7 Edgar Street, Poughkeepsie, NY 12603 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
| Carole A Daponte · Woodbrey | 21 Twin Hills Road, Poughkeepsie, NY 12603 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Henry Rodriguez | 1112 Cherry Hill Drive, Poughkeepsie, NY 12603 | Dietitian/nutritionist | 2020-05-01 ~ 2021-04-30 |
| Angelika Jones | P.o. Box 3172, Poughkeepsie, NY 12603 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
| David B Katz | 4 Commerce Street Ext, Poughkeepsie, NY 12603 | Swimming Pool Builder - In Ground | 2020-05-01 ~ 2021-04-30 |
| Ryan Eric Wallace | 2 Bird Lane, Poughkeepsie, NY 12603 | Registered Nurse | 2020-04-22 ~ 2021-01-31 |
| Christopher A Perito | 233 South Grand Avenue, Poughkeepsie, NY 12603 | Radiographer | 2020-05-01 ~ 2021-04-30 |
| Jennifer M Sarasky-morales | 3 Ireland Dr, Poughkeepsie, NY 12603 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Laura J Paterson | 11 Sedgewick Rd, Poughkeepsie, NY 12603 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 12603 | |||
| City | POUGHKEEPSIE |
| Zip Code | 12603 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + POUGHKEEPSIE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ji Hye Chung | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Helen H Chung | 644 Orange St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Chung K Kim | 20 Main St Ste 17, Windsor Locks, CT 06096-2345 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jin Ho Chung | 100 Cougar Drive, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kenneth Chung | 266 Pearl St Apt 306, Hartford, CT 06103-2012 | Controlled Substance Registration for Practitioner | 2013-04-22 ~ 2015-02-28 |
| Ho R Chung | 170 W. Main St Apt 205k, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| James H Chung Md | 10 Deepwood Rd, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Juyong Chung | 233 Penwood Xing, Glastonbury, CT 06033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeff Chung Md | 111 Park Street, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Chan Kwon Chung | 20 Front St Apt 410, Hartford, CT 06103-2850 | Controlled Substance Registration for Practitioner | ~ |
Please comment or provide details below to improve the information on EDWARD Y CHUNG MD.
| 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).