JUSTIN DAVID CHUNG (Credential# 1508564) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
JUSTIN DAVID CHUNG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.012244. The credential type is dentist. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 483 Middle Tpke W Ste 209, Manchester, CT 06040-3864. The current status is active.
| Licensee Name | JUSTIN DAVID CHUNG |
| Credential ID | 1508564 |
| Credential Number | 2.012244 |
| Credential Type | Dentist |
| Business Address |
483 Middle Tpke W Ste 209 Manchester CT 06040-3864 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-07-02 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1528499 | CSP.0068921 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-07-05 | 2019-05-20 - 2021-02-28 | ACTIVE |
| Street Address | 483 MIDDLE TPKE W STE 209 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-3864 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ryaz Ansari Dds | 483 Middle Tpke W Ste 102, Manchester, CT 06040-3864 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Marcella A Macdonald | 483 Middle Tpke W Ste 223, Manchester, CT 06040-3864 | Podiatrist | 2019-12-01 ~ 2020-11-30 |
| Joel L Rosenlicht Dmd | 483 Middle Tpke W Ste 102, Manchester, CT 06040-3864 | Dental Anesthesia/conscious Sedation Permit | 2020-05-01 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | Dentist |
| License Type + County | Dentist + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justin Chung | 2044 Center Ave, Fort Lee, NJ 07024-4930 | Dentist | 2019-11-05 ~ 2020-06-30 |
| Justin D Chung | 144 Highwood Dr, Manchester, CT 06040-5623 | Emergency Medical Technician | 2009-11-02 ~ 2011-10-01 |
| Chung Ah Caps Mfg Ltd | Sui Chung Tong, Ha Kwok Hui Zhou City | Manufacturer of Bedding & Upholstered Furniture | 2009-05-01 ~ 2010-04-30 |
| Henry G Chung · House of Chung | 365 Broad Street, Manchester, CT 06040 | Restaurant Liquor | ~ 1999-11-22 |
| Nancy D Chung Dds | 104 Stonegate Trl, Cresskill, NJ 07626-2424 | Dentist | 2010-08-25 ~ 2011-03-31 |
| Chung Hin Lau | 216-11 73rd Ave, Oakland Gardens, NY 11364-2931 | Dentist | 2019-08-27 ~ 2020-08-31 |
| Tony I Chung | 292 Elsmere Place Apt 7, Fort Lee, NJ 07024 | Dentist | 2007-04-27 ~ 2008-04-30 |
| Robert Chung Dds | 4 Dearfield Drive, Greenwich, CT 06831 | Dentist | 2020-09-01 ~ 2021-08-31 |
| Joseph K Chung | 21 Newkirk Road, Yonkers, NY 10710 | Dentist | 1996-07-03 ~ 1997-07-31 |
| Steven P Chung Dmd | 483 West Middle Turnpike, Manchester, CT 06040 | Dentist | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on JUSTIN DAVID CHUNG.
| 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).