CHAEWON SONG (Credential# 557327) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 18, 2006. The license expiration date date is May 31, 2007. The license status is INACTIVE.
CHAEWON SONG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039743. The credential type is physician/surgeon. The effective date is April 18, 2006. The expiration date is May 31, 2007. The business address is 25 Witch Meadow, Salem, CT 06420. The current status is inactive.
| Licensee Name | CHAEWON SONG |
| Credential ID | 557327 |
| Credential Number | 1.039743 |
| Credential Type | Physician/Surgeon |
| Business Address |
25 Witch Meadow Salem CT 06420 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2001-07-18 |
| Effective Date | 2006-04-18 |
| Expiration Date | 2007-05-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 25 Witch Meadow |
| City | Salem |
| State | CT |
| Zip Code | 06420 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra I Delorimiere | 322 Round Hill Road, Salem, CT 06420 | Real Estate Salesperson | ~ |
| Darci J Smith | 25 Salem Ridge Drive, Salem, CT 06420 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Pamela Minella | 135 Sullivan Rd., Salem, CT 06420 | Water Treatment Plant Operator - Class Iv | 2020-04-01 ~ 2023-03-31 |
| Alfreda Shapere · Bingham | 170 Darling Rd, Salem, CT 06420 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Paul A Pudimat Md | 61 Emerald Glen Lane, Salem, CT 06420 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Thomas J Butcher | 248 Norwich Road, Salem, CT 06420 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Destiny Faye Henkel | 65 Horse Pond Rd, Salem, CT 06420 | Master's Level Social Worker - Temporary Permit | 2020-06-12 ~ 2020-09-13 |
| Kevin R Fennell | 105 Witter Road, Salem, CT 06420 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Scott D Pellerin | 301 Rattlesnake Ledge Road, Salem, CT 06420 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Salem Prime Cuts Inc · John Fusaro Jr | 12 New London Rd, Salem, CT 06420 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06420 | |||
| City | Salem |
| Zip Code | 06420 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Salem |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chaewon Song Md | 22 Eastham Bridge Rd, East Hampton, CT 06424 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Samuel Song | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Agnes S Song | 1098 Anderson Ave, Ft Lee, NJ 07024 | Physician/surgeon | 1996-08-14 ~ 1997-10-31 |
| Wenru Song | 213 Long Wharf Rd, Mystic, CT 06355 | Physician/surgeon | ~ |
| Dae Y Song | 413 Ivanhoe Drive, Selma, AL 36701 | Physician/surgeon | 2001-09-10 ~ 2002-10-31 |
| Soon Hi Song | The Michelan 1204, Seoul, 137870 | Physician/surgeon | 2005-10-31 ~ 2006-12-31 |
| Kunchang Song | 6 Settlers Grn, Pittsford, NY 14534-2763 | Physician/surgeon | 2006-12-20 ~ 2008-01-31 |
| Song Young Yu | 14a Quaker Ridge Dr., Brookville, NY 11545 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Ju Yong Song | 416 Margherita Pl, Brick Town, NJ 08724 | Physician/surgeon | 1997-06-09 ~ 1998-08-31 |
| Rinn Song | 396 Beacon Street, Boston, MA 02116 | Physician/surgeon | 2011-07-01 ~ 2012-06-30 |
Please comment or provide details below to improve the information on CHAEWON SONG.
| 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).