JACKSON CHEN (Credential# 1514258) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JACKSON CHEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060882-RES. The credential type is resident physician. The effective date is July 1, 2018. The expiration date is June 30, 2021. The business address is 85-43 91st, Woodhaven, NY 11421. The current status is active.
| Licensee Name | JACKSON CHEN |
| Credential ID | 1514258 |
| Credential Number | 1.060882-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
85-43 91st Woodhaven NY 11421 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-07-01 |
| Effective Date | 2018-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2018-05-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1498324 | CSP.0067607 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-05-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 85-43 91ST |
| City | WOODHAVEN |
| State | NY |
| Zip Code | 11421 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rajiq Inam | 87-28 92nd Street, Woodhaven, NY 11421 | Pharmacy Intern | 2020-06-02 ~ 2020-09-30 |
| Hui Yu Liang | 91 25 88 Street, Woodhaven, NY 11421 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Ramon A Nunez | 215 Beach 101 St, Woodhaven, NY 11421 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Andy Li Feng Huang | 86-14 85th St. 1st Flr., Woodhaven, NY 11421 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Jason Klenck | 90-37 80th Street, New York, NY 11421 | Home Improvement Contractor | 2018-10-31 ~ 2019-11-30 |
| Anicia T Beltran | 85-81 75th Street, Woodhaven, NY 11421 | Notary Public Appointment | 2007-04-01 ~ 2012-03-31 |
| Sean E Heerey | 84-22 89th, Woodhaven, NY 11421 | Naturopathic Physician | 2019-07-01 ~ 2020-06-30 |
| John S Sanon | 95-06 Jamaica Avenue, Woodhaven, NY 11421 | Pharmacy Technician | 2015-04-01 ~ 2016-03-31 |
| Trajko Bojadzievski | 9006 Park Lane South, New York, NY 11421 | Physician/surgeon | ~ |
| Maria Naula | 85-02 88 Av 1f, Woodhaven, NY 11421 | Asbestos Abatement Worker | 2015-09-01 ~ 2016-08-31 |
| Find all Licenses in zip 11421 | |||
| City | WOODHAVEN |
| Zip Code | 11421 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + WOODHAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wenqian Chen | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-07-23 ~ 2021-06-30 |
| Chen Yang | 20 York St, New Haven, CT 06510 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Po-han Chen | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Peter P Chen | 47 Turtle Bay Dr, Branford, CT 06405-4974 | Resident Physician | 2017-07-01 ~ 2018-06-30 |
| David Chen | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jen-chen Huang | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-08-02 ~ 2021-06-30 |
| Jessica Chen | 1245 Chapel St, New Haven, CT 06511-4611 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Julia Chen | 20 York Street, Tompkins 226, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Alissa Stephanie Chen | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Tzong-yang Albert Higgins-chen | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2017-06-12 ~ 2021-06-30 |
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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).