DAVID CHU MD (Credential# 553362) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
DAVID CHU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035769. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 358 W Hyerdale Dr, Goshen, CT 06756. The current status is active.
Licensee Name | DAVID CHU MD |
Credential ID | 553362 |
Credential Number | 1.035769 |
Credential Type | Physician/Surgeon |
Business Address |
358 W Hyerdale Dr Goshen CT 06756 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1997-01-10 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-03-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
156430 | CSP.0027316 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 358 W HYERDALE DR |
City | GOSHEN |
State | CT |
Zip Code | 06756 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Peter C Herbst | 6 Cornwall Drive, Goshen, CT 06756 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Janice Caroline Connor | 20 Dresden Court West, Goshen, CT 06756 | Notary Public Appointment | 2016-01-01 ~ 2020-12-31 |
James Adelbert Johnson | 316 Sharon Tpke, Goshen, CT 06756 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Jesse W Willis | 152 Hageman Shean Road, Goshen, CT 06756 | Crane Operator | ~ |
William G Colby | 4 Brynmoor Court, Goshen, CT 06756 | Sub-surface Sewage Installer | 2020-06-01 ~ 2021-05-31 |
Heidi L Rosko | 160 Sharon Turnpike, Goshen, CT 06756 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
Lynn Marie Steinmayer | 302 Sharon Turnpike, Goshen, CT 06756 | Master's Level Social Worker - Temporary Permit | 2020-04-08 ~ 2020-05-31 |
Jeffrey R Durkin | 295 N Goshen Rd, Goshen, CT 06756 | Youth Camp Director | 2020-06-17 ~ |
Michele A Esandrio | 38 Pie Hill Rd., Goshen, CT 06756 | Esthetician | ~ |
Janet Howe | 48 Brynmoor Ct, Goshen, CT 06756 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06756 |
City | GOSHEN |
Zip Code | 06756 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + GOSHEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
David M Heydt | 34 Loft Dr, Martinsville, NJ 08836-2261 | Physician/surgeon | ~ |
David Zhou | 125 Paterson St, Meb 233, New Brunswick, NJ 08903 | Physician/surgeon | ~ |
David L Maxham | Box 517, Woodstock, VT 05091 | Physician/surgeon | 1994-03-07 ~ 1995-02-28 |
David M Drvaric | 516 Carew St, Springfield, MA 01104-2330 | Physician/surgeon | ~ |
David G. Srour Md | Rockville, MD 20850 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
David L Brook | Rfd 3, Oakland, ME 04963 | Physician/surgeon | 1994-08-08 ~ 1995-10-31 |
David Khaski | 372 Avenue U Ste 1b, Brooklyn, NY 11223-4052 | Physician/surgeon | ~ |
David A Brill | Po Box 710, Mystic, CT 06355-0710 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
David J Rea | 5699 N Centerpark Way Apt 502, Glendale, WI 53217-4571 | Physician/surgeon | ~ |
David J Martin | C/o O.s.m., Trumbull, CT 06611 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
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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).