DENNIS T CHANG MD (Credential# 437378) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
DENNIS T CHANG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0039116. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 100 Old Palisade Rd Apt 1603, Fort Lee, NJ 07024. The current status is inactive.
| Licensee Name | DENNIS T CHANG MD |
| Credential ID | 437378 |
| Credential Number | CSP.0039116 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
100 Old Palisade Rd Apt 1603 Fort Lee NJ 07024 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2006-05-18 |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 561953 | 1.044371 | Physician/Surgeon | 2006-05-17 | 2007-10-23 - 2008-11-30 | INACTIVE |
| Street Address | 100 OLD PALISADE RD APT 1603 |
| City | FORT LEE |
| State | NJ |
| Zip Code | 07024 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eun Kim | 1263a Inwood Terrace, Fort Lee, NJ 07024 | Pharmacist | ~ |
| Stephen C Leventis | 2125 Center Ave Ste 301, Fort Lee, NJ 07024 | Architect | 2020-08-01 ~ 2021-07-31 |
| Taeik Kim | 2029 Lemoine Ave. Suite 302, Fort Lee, NJ 07024 | Architect | 2020-08-01 ~ 2021-07-31 |
| Catalina A Grigorescu | 270 Bluff Road, Fort Lee, NJ 07024 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shaina Rodrigues | 2461 8th Street, Fort Lee, NJ 07024 | Resident Physician | 2020-06-28 ~ 2021-06-30 |
| Daniel William Livshin | 3406 Crest Ln, Fort Lee, NJ 07024 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Robert Abraham | 296 Harmon Ave., Fort Lee, NJ 07024 | Radiographer | 2020-06-01 ~ 2021-05-31 |
| Marge Teilhaber | 555 North Avenue 6 T, Fort Lee, NJ 07024 | Notary Public Appointment | 2015-04-01 ~ 2020-03-31 |
| Andrew J Merin | 4 Ascot Way, Fort Lee, NJ 07024 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Seungjin Kim | 2050 Central Road Apt 718, Fort Lee, NJ 07024 | Dentist | 2020-02-20 ~ 2021-02-28 |
| Find all Licenses in zip 07024 | |||
| City | FORT LEE |
| Zip Code | 07024 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FORT LEE |
| 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 |
| 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 |
| Chang Soo Kim | 35 Deacons Way, New Canaan, CT 06840-4221 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ho-choong Chang | 76 New Britain Ave, Hartford, CT 06106-3305 | Controlled Substance Registration for Practitioner | 2019-04-24 ~ 2021-02-28 |
| Constance T Chang | 22 Fisher St, Providence, RI 02906-2626 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason S Chang Md | 40 Temple St Ste 6c, New Haven, CT 06510-2715 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| 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 |
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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).