BRIAN WONG (Credential# 1508166) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
BRIAN WONG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061523. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 462 Queen St., Southington, CT 06489. The current status is active.
| Licensee Name | BRIAN WONG |
| Credential ID | 1508166 |
| Credential Number | 1.061523 |
| Credential Type | Physician/Surgeon |
| Business Address |
462 Queen St. Southington CT 06489 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-27 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1527113 | CSP.0068844 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-06-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 462 Queen St. |
| City | Southington |
| State | CT |
| Zip Code | 06489 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah M Moon | 321 Pilgrim Lane, Southington, CT 06489 | Esthetician | ~ |
| Joanna Milewski | 23 Stacy Cate Drive, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Richard M Testa | 81 Winter Park Road, Southington, CT 06489 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Valley Roofing LLC | 88 Ladyslipper Lane, Southington, CT 06489 | Home Improvement Contractor | ~ |
| Dunkin Donuts · New England Donuts LLC | 856 Queen St, Southington, CT 06489 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Elizabeth E Pizzuto | 45 Water Street, Southington, CT 06489 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Nicholas C Ingel | 515 West Street, Southington, CT 06489 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2021-08-31 |
| Tyrone J Correa | 84 Minthal Drive, Southington, CT 06489 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Marilyn F Coppola | 114 Spring Hill Rd, Southington, CT 06489 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Christine M Liebler | 30 Sultana Terrace, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06489 | |||
| City | Southington |
| Zip Code | 06489 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Southington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edison H Wong | 801 N Orange Ave, Orlando, FL 32801 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| 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 | ~ |
| 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 |
| Kei Wong | 100 York Street, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brian Wong Won | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2016-07-01 ~ 2021-06-30 |
| Brian L Wong | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Andrew S Wong | 260 Blue Trail, Hamden, CT 06518 | Physician/surgeon | 2005-09-06 ~ 2006-10-31 |
| Jennifer L Wong | 800 Howard Avenue, New Haven, CT 06519 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on BRIAN WONG.
| 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).