IRENE J TAN MD (Credential# 399498) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
IRENE J TAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037197. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 1266 East Main St, Stamford, CT 06902. The current status is inactive.
| Licensee Name | IRENE J TAN MD |
| Credential ID | 399498 |
| Credential Number | CSP.0037197 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1266 East Main St Stamford CT 06902 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2005-03-30 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 555111 | 1.037521 | Physician/Surgeon | 1999-02-12 | 2012-02-01 - 2013-01-31 | INACTIVE |
| Street Address | 1266 EAST MAIN ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaiser Foundation Health Plan of Ct | 1266 East Main St, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 1999-06-04 ~ 2000-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Irene Kay Walters | 515 N 5th St, Hamilton, MT 59840-2209 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Irene Vangsness Pa | 77 Cow Pen Hill Rd, Killingworth, CT 06419 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Manpreet K Datta | 25 Irene St, Lindenhurst, NY 11757-1204 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Irene Grace Kho | 123 York St Apt 22l, New Haven, CT 06511-5630 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Irene Jakab Md | 74 Lawton St, Brookline, MA 02446 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Richard Rock | 97 Irene Dr, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Irene Y Chin | 63 Bank St Fl 7a, Waterbury, CT 06702-2206 | Controlled Substance Registration for Practitioner | ~ |
| Irene D Marion Dds | 1060 Day Hill Rd, Windsor, CT 06095-5719 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Irene Eve Lainiotis | 101 Washington St Unit 413, Norwalk, CT 06854-3168 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Irene F Moreira | 246 Federal Road, Brookfield, CT 06804 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on IRENE J TAN MD.
| 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).