CHUN PENG CHAO MD (Credential# 553919) 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.
CHUN PENG CHAO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036327. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 110 Musket Ridge Road, Wilton, CT 06897. The current status is active.
| Licensee Name | CHUN PENG CHAO MD |
| Credential ID | 553919 |
| Credential Number | 1.036327 |
| Credential Type | Physician/Surgeon |
| Business Address |
110 Musket Ridge Road Wilton CT 06897 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-08-22 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 187473 | CSP.0026093 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 110 MUSKET RIDGE ROAD |
| City | WILTON |
| State | CT |
| Zip Code | 06897 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Adara Case | 14 Middlebrook Farm Rd, Wilton, CT 06897 | Emergency Medical Technician | ~ |
| C B Tart | 105 Seeley Road, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Matthew P Schmitt | 116 Borglum Rd, Wilton, CT 06897 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Music On The Hill Inc | 48 New Canaan Road, Wilton, CT 06897 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Neelam Narula | 11 Glen Ridge, Wilton, CT 06897 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Katherine S Lewis | 43 Antler Lane, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven Phillips | 944 Danbury Rd, Wilton, CT 06897 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sally S Chao Md | 48 Saint Johns Rd, Wilton, CT 06897 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Christine M Tenore | 150 St Johns Road, Wilton, CT 06897 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Susan Lee | 200 Danbury Road, Apt 5, Wilton, CT 06897 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06897 | |||
| City | WILTON |
| Zip Code | 06897 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WILTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chun W Peng | 125 Hydrangea Cir Nw, Concord, NC 28027-7252 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Shao Chun Chao | 94-30 45th Ave Elmhurst, New York, NY 11373 | Registered Nurse | 2015-06-11 ~ 2016-06-30 |
| Yuchi Peng Md | 442 C W Duarte Rd, Arcadia, CA 91007 | Physician/surgeon | 2010-11-01 ~ 2011-10-31 |
| Hanna H Chao | 500 Elm St, West Haven, CT 06516-4233 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Kuo H Chao | Westchester Pet and Medical Imaging, Hawthorne, NY 10532 | Physician/surgeon | ~ |
| Lynn Chao Md | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Fangyu Peng | 72 Litchfield Road, Unionville, CT 06085 | Physician/surgeon | 2000-06-30 ~ 2001-06-30 |
| Alfred T Peng | 8 Anna Lane, Edison, NJ 08820 | Physician/surgeon | 1999-08-11 ~ 2000-09-30 |
| Chengwei Peng | 20 York Street, New Haven, CT 06515 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Sally S Chao Md | 48 Saint Johns Rd, Wilton, CT 06897 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
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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).