JESSE LIMMON CHANG (Credential# 1669489) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
JESSE LIMMON CHANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064248. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067. The current status is active.
| Licensee Name | JESSE LIMMON CHANG |
| Credential ID | 1669489 |
| Credential Number | 1.064248 |
| Credential Type | Physician/Surgeon |
| Business Address |
1 Cityplace Dr Ste 570 Saint Louis MO 63141-7067 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-09-18 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1789440 | CSP.0072499 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-09-27 | 2019-09-27 - 2021-02-28 | ACTIVE |
| Street Address | 1 CITYPLACE DR STE 570 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-7067 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tracy Lynne Reeder | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Vanessa Kitzis | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Dee Walker Ford | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mary Ellen Mcdonough | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven Branham | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Brett Nathan Whaley | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Timothy Michael Stock | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jason Nguyen | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kara Diane Skrodzki | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Analiza Salvador Petero | 1 Cityplace Dr Ste 570, Saint Louis, MO 63141-7067 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eboni C January | 910 Morrison Ave, St Louis, MO 63141 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Guy Elise Constant De Gent | One Cityplace Dr, Suite 570, Saint Louis, MO 63141 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| William P Mcmahon | 670 Mason Ridge Center Dr #220, St Louis, MO 63141 | Architect | 2020-08-01 ~ 2021-07-31 |
| Debra Kay Scudder | 12917 Gallagher Road, St. Louis, MO 63141 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Go Live Well | 13035 Olive Blvd Ste #210, Saint Louis, MO 63141 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Michael Cummins Cpa PC | Three The Pines Court Ste E, St. Louis, MO 63141 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Michael Cummins Cpa | 3 The Pines Ct Ste E, St. Louis, MO 63141 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Kali Marie Boland | 12750 Hezel Lane, Creve Coeur, MO 63141 | Physical Therapist | 2019-11-04 ~ 2020-10-31 |
| Romona Patrice Green | One Cityplace Drive, Saint Louis, MO 63141 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Isabelle Evelyn Condict | 711 Country Manor Lane, Creve Coeur, MO 63141 | Registered Nurse | 2018-05-01 ~ 2019-04-30 |
| Find all Licenses in zip 63141 | |||
| City | SAINT LOUIS |
| Zip Code | 63141 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SAINT LOUIS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chang R. Na | 925 Mix Ave Apt 1p, Hamden, CT 06514-5119 | Physician/surgeon | 2013-03-01 ~ 2014-02-28 |
| Robert Y Chang Md | 35 Elm St, New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Sandy Chang | Madison, CT 06443 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Yu C Chang | 209-42 30th Ave., Bayside, NY 11360-2419 | Physician/surgeon | 2006-07-12 ~ 2007-08-31 |
| Tina Yin Chang | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Johnny A Chang Md | 538 Litchfield St Ste 102, Torrington, CT 06790 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jason S Chang | 246 Yardley Way, Pittsburgh, PA 15206 | Physician/surgeon | 2008-01-07 ~ 2009-01-31 |
| Nam Sik Chang | Scott Dr, South Windsor, CT 06074 | Physician/surgeon | 1981-01-01 ~ 1987-09-22 |
| Joann C Chang | 4 Liberty Sq, Littleton, MA 01460-2002 | Physician/surgeon | 2018-12-01 ~ 2019-11-30 |
| Winshih Chang | 664 Stoneleigh Ave Ste 300, Carmel, NY 10512-3990 | Physician/surgeon | 2016-11-09 ~ 2017-08-31 |
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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).