YAN G FAN (Credential# 558172) 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.
YAN G FAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040589. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 487 Edward H Ross Dr, Elmwood Park, NJ 07407-3127. The current status is active.
Licensee Name | YAN G FAN |
Credential ID | 558172 |
Credential Number | 1.040589 |
Credential Type | Physician/Surgeon |
Business Address |
487 Edward H Ross Dr Elmwood Park NJ 07407-3127 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2002-06-26 |
Effective Date | 2019-11-01 |
Expiration Date | 2020-10-31 |
Refresh Date | 2019-10-11 |
Street Address | 487 EDWARD H ROSS DR |
City | ELMWOOD PARK |
State | NJ |
Zip Code | 07407-3127 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Pasr Corp | 285 Lincoln Avenue, Elmwood Park, NJ 07407 | Home Improvement Contractor | 2020-06-23 ~ 2020-11-30 |
Ryan Joseph Guterl | 702 Mola Blvd, Elmwood Park, NJ 07407 | Professional Counselor | ~ |
Ideal Down and Feather | 308 Palsa Ave, Elmwood Park, NJ 07407 | Sterilization Permit for Bedding & Upholstered Furniture | 2020-03-23 ~ 2020-03-23 |
Shouket Ali | 26 Lincoln Ave, Elmwood Park, NJ 07407 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Shashanka Gampa | 400 Riverfront Blvd, Elmwood Park, NJ 07407 | Pharmacy Technician | 2018-04-01 ~ 2019-03-31 |
Uma Bandyopadhyay | 5 Elizabeth Ave, Elmwood Park, NJ 07407 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Hemin M Vaidya | 7-a 16th Ave, Elmwood Park, NJ 07407 | Pharmacist | 2001-02-01 ~ 2002-01-31 |
Joyce Food Products Inc | Bourmar Place, Elmwood Park, NJ 07407 | Bakery | 2000-07-01 ~ 2001-06-30 |
Md Shaker-uddin Sarkar · M S Sarkar Associates | 151a Boulevard, Elmwood Park, NJ 07407 | Professional Engineer | 1988-01-29 ~ 1989-01-31 |
Michael R Hanak | 68-a Blvd, Elmwood Park, NJ 07407 | Electrical Unlimited Contractor | ~ |
Find all Licenses in zip 07407 |
City | ELMWOOD PARK |
Zip Code | 07407 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + ELMWOOD PARK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
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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).