SHU CHING CHANG DMD
Controlled Substance Registration for Practitioner


Address: 45-03 Kissena Blvd, Flushing, NY 11355

SHU CHING CHANG DMD (Credential# 172393) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 27, 1996. The license expiration date date is February 28, 1998. The license status is INACTIVE.

Business Overview

SHU CHING CHANG DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0024661. The credential type is controlled substance registration for practitioner. The effective date is August 27, 1996. The expiration date is February 28, 1998. The business address is 45-03 Kissena Blvd, Flushing, NY 11355. The current status is inactive.

Basic Information

Licensee Name SHU CHING CHANG DMD
Credential ID 172393
Credential Number CSP.0024661
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 45-03 Kissena Blvd
Flushing
NY 11355
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1996-08-27
Expiration Date 1998-02-28
Refresh Date 2004-04-23

Other licenses

ID Credential Code Credential Type Issue Term Status
702735 2.008274 Dentist 1996-07-26 - 1997-02-28 INACTIVE

Office Location

Street Address 45-03 KISSENA BLVD
City FLUSHING
State NY
Zip Code 11355

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Competitor

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City FLUSHING
Zip Code 11355
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FLUSHING

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Dataset Information

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).

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