JOHANNA M CHANG (Credential# 1683874) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 15, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
JOHANNA M CHANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0072265. The credential type is controlled substance registration for practitioner. The effective date is August 15, 2019. The expiration date is February 28, 2021. The business address is 1890 16th Ave, San Francisco, CA 94122-4540. The current status is active.
| Licensee Name | JOHANNA M CHANG |
| Credential ID | 1683874 |
| Credential Number | CSP.0072265 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1890 16th Ave San Francisco CA 94122-4540 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-08-15 |
| Effective Date | 2019-08-15 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-08-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1313189 | 1.054842 | Physician/Surgeon | 2016-01-04 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 1890 16TH AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94122-4540 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Excellence In Investing for Children's Causes Inc | 1262 26th Avenue, San Francisco, CA 94122 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| David Warren | 1383 24th Ave, San Francisco, CA 94122 | Home Improvement Salesperson | 2015-04-22 ~ 2015-11-30 |
| Quynh A Truong Md | 8 Locksley Avenue #2m, Sanfrancisco, CA 94122 | Physician/surgeon | 2003-01-06 ~ 2004-02-29 |
| Florence Kwo | 1507-23rd Ave, San Francisco, CA 94122 | Emergency Medical Technician | 2006-06-20 ~ 2008-04-01 |
| Janet R Meyers | 1691 44th Ave, San Francisco, CA 94122 | Registered Nurse | 1994-04-11 ~ 1995-01-31 |
| Theresa L Weber | 1727 11th Ave, San Francisco, CA 94122 | Physical Therapist | 1992-09-24 ~ 1993-08-31 |
| John P Barger | 1395 47th Avenue, San Francisco, CA 94122 | Registered Nurse | 1999-06-22 ~ 2000-07-31 |
| Rebecca Butler | 225 Irving St #10, San Francisco, CA 94122 | Physical Therapist | 1998-01-21 ~ 1998-12-31 |
| Diane L Cappiccille | 510 Ortega Street, San Francisco, CA 94122 | Registered Nurse | 2005-11-10 ~ 2006-12-31 |
| Karen M Mariasi | 1524 Kirkam Street, San Francisco, CA 94122 | Physical Therapist | 2001-09-25 ~ 2002-10-31 |
| Find all Licenses in zip 94122 | |||
| City | SAN FRANCISCO |
| Zip Code | 94122 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SAN FRANCISCO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chang Na | 925 Mix Ave Apt 1p, Hamden, CT 06514-5119 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Chang B Son | 78 Olive St #210, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Chang Soo Kim | 35 Deacons Way, New Canaan, CT 06840-4221 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Suk C Chang Md | 214 Amity Rd, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Lin-yu D Chang | 15 Perry Ave Apt D10, Norwalk, CT 06850-1653 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Johanna V Mailloux Md | 282 Washington St 4h, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Yoon H Chang | 64 Robbins St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Mina Chang | 64 Robbins St, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Robert S Chang Md | 14 Cinnamon Ct, Holmdel, NJ 07733-1477 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason L Chang Md | 55 Meriden Ave Ste 1a, Southington, CT 06489-3237 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on JOHANNA M CHANG.
| 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).