WAYNE M FONG (Credential# 549524) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
WAYNE M FONG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031842. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is #27h, New York, NY 10016. The current status is active.
| Licensee Name | WAYNE M FONG |
| Credential ID | 549524 |
| Credential Number | 1.031842 |
| Credential Type | Physician/Surgeon |
| Business Address |
#27h New York NY 10016 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1991-08-16 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-07-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 160413 | CSP.0019497 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-08-12 - 1995-09-01 | INACTIVE |
| Street Address | #27H |
| City | NEW YORK |
| State | NY |
| Zip Code | 10016 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Terri Michelle Parkin | 245 5th Avenue, New York, NY 10016 | Registered Nurse | ~ |
| Robert A Stern | One Park Avenue, New York, NY 10016 | Architect | 2020-08-01 ~ 2021-07-31 |
| Gerard Epelbaum Dds | 30 East 40th St #906, New York, NY 10016 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Action Without Borders, Inc | 389 Fifth Avenue, 9th Floor, New York, NY 10016 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| A James Tinson | 10 E 40th Street, New York, NY 10016 | Architect | 2020-08-01 ~ 2021-07-31 |
| Melinda J Parsons | 11 East 36th Street, New York, NY 10016 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Daniel Gorman | 145 E 27th Street, New York, NY 10016 | Master's Level Social Worker - Temporary Permit | 2020-06-16 ~ 2020-09-13 |
| Steven Issley | 545 First Avenue, Suite 6g, New York, NY 10016 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jennifer Stewart Brinton | 155 E 38th St, New York, NY 10016 | Registered Nurse | ~ |
| Steven Andrew Roberts | 300 East 33rd Street, New York, NY 10016 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 10016 | |||
| City | NEW YORK |
| Zip Code | 10016 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nepenthe Irwin Fong | 2825 Oak Lawn Ave Unit 192749, Dallas, TX 75219-4688 | Physician/surgeon | ~ |
| Wayne Gilbertie Md · Radiology & Imaging | Wayne Gilbertie, Md, Glastonbury, CT 06033 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Fong Chien (vn) Co Ltd | Hoa Lan Ward Thuan Giao Village, Binh Duong Province | Manufacturer of Bedding & Upholstered Furniture | 2019-05-01 ~ 2020-04-30 |
| John Fong · Fong's Restaurant | 218 Smith St, Middletown, CT 06457-1741 | Restaurant Wine & Beer | 2013-12-21 ~ 2014-12-20 |
| Vasundhara G Untawale | 281 Farmingdale Rd, Wayne, NJ 07470-6555 | Physician/surgeon | ~ |
| Wayne K Scali | 368 C Tulibee Dr, Groton, CT 06349 | Physician/surgeon | 1987-08-14 ~ 1990-08-31 |
| David J. Hoffman Md | 651 Knox Rd, Wayne, PA 19087-2015 | Physician/surgeon | 2015-04-01 ~ 2016-03-31 |
| Wayne O Southwick | Po Box 208071, New Haven, CT 06520-8071 | Physician/surgeon | 2003-01-10 ~ 2004-02-29 |
| Maya Pandey | 6 Waterford Ct, Wayne, NJ 07470-3738 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Ravi Rathi Md | 18 Kukin Court Way, Wayne, NJ 07470 | Physician/surgeon | 1999-03-18 ~ 2000-03-31 |
Please comment or provide details below to improve the information on WAYNE M FONG.
| 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).