GRACE JENQ MD (Credential# 557289) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2016. The license expiration date date is April 30, 2017. The license status is INACTIVE.
GRACE JENQ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039705. The credential type is physician/surgeon. The effective date is May 1, 2016. The expiration date is April 30, 2017. The business address is 55 Hickory Rd, Woodbridge, CT 06525. The current status is inactive.
| Licensee Name | GRACE JENQ MD |
| Credential ID | 557289 |
| Credential Number | 1.039705 |
| Credential Type | Physician/Surgeon |
| Business Address |
55 Hickory Rd Woodbridge CT 06525 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2001-07-06 |
| Effective Date | 2016-05-01 |
| Expiration Date | 2017-04-30 |
| Refresh Date | 2017-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 293243 | CSP.0031680 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 55 HICKORY RD |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dorothea R Peck | 55 Hickory Rd, Woodbridge, CT 06525 | Physician/surgeon | 1992-03-24 ~ 1993-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
| Find all Licenses in zip 06525 | |||
| City | WOODBRIDGE |
| Zip Code | 06525 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WOODBRIDGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Grace Cha | 38 Ward St Apt 5, Middletown, CT 06457-4185 | Physician/surgeon | ~ |
| Grace S Lee | 27 Stacey Ln, Madison, CT 06443-2465 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Grace K Suh Md | 641 Whitney Ave 2c, New Haven, CT 06511-2253 | Physician/surgeon | 2007-01-18 ~ 2008-03-31 |
| Grace P Kim Md | 169 Cheesespring Rd, Wilton, CT 06897-2308 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Grace K Mandigo | 2150 Broadway # 126, New York, NY 10023-8255 | Physician/surgeon | ~ |
| Grace H Lee | 631 East 6th Street, Hinsdale, IL 60521 | Physician/surgeon | 2009-05-26 ~ 2010-07-31 |
| Jaspreet S. Joneja | 14 Grace Dr, Old Westbury, NY 11568-1221 | Physician/surgeon | 2011-04-06 ~ 2011-12-31 |
| Grace Chang | 17 Hillhouse Ave, New Haven, CT 06511-8965 | Physician/surgeon | 1984-07-05 ~ 1992-02-29 |
| Grace M Jere Md | 12 Bailey Rd, Middletown, CT 06457 | Physician/surgeon | 2006-01-17 ~ 2007-02-28 |
| Grace M Steere | 12 Tallwood Rd, Woodbridge, CT 06525 | Physician/surgeon | 2000-12-01 ~ 2001-09-25 |
Please comment or provide details below to improve the information on GRACE JENQ MD.
| 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).