YU M WANG PA
Controlled Substance Registration for Practitioner


Address: 26 Gurley Road, East Lyme, CT 06333

YU M WANG PA (Credential# 416283) 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.

Business Overview

YU M WANG PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038328. 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 26 Gurley Road, East Lyme, CT 06333. The current status is inactive.

Basic Information

Licensee Name YU M WANG PA
Credential ID 416283
Credential Number CSP.0038328
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 26 Gurley Road
East Lyme
CT 06333
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-09-16
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
743412 23.001663 Physician Assistant 2005-08-02 2010-09-01 - 2011-08-31 INACTIVE

Office Location

Street Address 26 GURLEY ROAD
City EAST LYME
State CT
Zip Code 06333

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Competitor

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City EAST LYME
Zip Code 06333
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST LYME

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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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