JEFFREY G WONG MD (Credential# 335786) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2004. The license expiration date date is February 28, 2005. The license status is INACTIVE.
JEFFREY G WONG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033409. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2004. The expiration date is February 28, 2005. The business address is 33 Essex Lane, Woodbury, CT 06798. The current status is inactive.
| Licensee Name | JEFFREY G WONG MD |
| Credential ID | 335786 |
| Credential Number | CSP.0033409 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
33 Essex Lane Woodbury CT 06798 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2004-02-29 |
| Expiration Date | 2005-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 554785 | 1.037195 | Physician/Surgeon | 1998-08-14 | 2003-12-04 - 2005-01-31 | INACTIVE |
| 155120 | CSP.0027397 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-01 - 2003-02-28 | INACTIVE |
| Street Address | 33 ESSEX LANE |
| City | WOODBURY |
| State | CT |
| Zip Code | 06798 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pamela G Boushie | 33 Essex Lane, Woodbury, CT 06798 | Dietitian/nutritionist | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell J Hardy | 229 Bacon Pond Rd #114, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Geoffrey S Middeleer | 20 Roxbury Road, Woodbury, CT 06798 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Elaine P Templeton | 197 Carmel Hill Road, Woodbury, CT 06798 | Real Estate Salesperson | ~ |
| Ayrica L Gelinas | 65 Laurel Woods Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christopher R Laux | Grey Fox Trail, Woodbury, CT 06798 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diane L Robinson | P O Box 208, Woodbury, CT 06798 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott Freitag | 47 Woodbury Hill, Woodbury, CT 06798 | Medication Administration Certification | ~ |
| Brenda L Lupo | 31 Blueberry Lane, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer L Thompson | 1280 Main St. North, Woodbury, CT 06798 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Eileen O Pflegl | 3 Hazel Plain Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06798 | |||
| City | WOODBURY |
| Zip Code | 06798 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kin Cho Wong | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Chi H Wong | 88 Curtis Dr, New Haven, CT 06515-2342 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| So C Wong | Suite C, Cheshire, CT 06410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shue W Wong Md | 120 Boy St, Bristol, CT 06010 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Stephen K Wong | New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ellice Y Wong Md | 21 Orchard Ct, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Simon Wong | 43 Mattoon St, Springfield, MA 01105 | Controlled Substance Registration for Practitioner | 2001-03-07 ~ 2002-02-28 |
| Adley Wong | 111 Park St 14g, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| James Wong Md | 102 East Ave, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rebecca J Wong | 152 Temple St Apt 618, New Haven, CT 06510-2614 | Controlled Substance Registration for Practitioner | 2010-11-18 ~ 2011-02-28 |
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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).