RAFAEL CHIU MD (Credential# 560244) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
RAFAEL CHIU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042662. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 160 Hawley Ln Ste 107, Trumbull, CT 06611-5379. The current status is active.
| Licensee Name | RAFAEL CHIU MD |
| Credential ID | 560244 |
| Credential Number | 1.042662 |
| Credential Type | Physician/Surgeon |
| Business Address |
160 Hawley Ln Ste 107 Trumbull CT 06611-5379 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-07-16 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 379338 | CSP.0035666 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1263211 | CSP.0059264 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | 160 HAWLEY LN STE 107 |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-5379 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott D Cohen | 160 Hawley Ln Ste 103, Trumbull, CT 06611-5379 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Myl Rama Md | 160 Hawley Ln Ste 203, Trumbull, CT 06611-5379 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Find all Licenses in zip 06611 | |||
| City | TRUMBULL |
| Zip Code | 06611 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + TRUMBULL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lai-n0 Chiu-serodio | P.o.box 1157, Lebanon, PA 17042 | Physician/surgeon | 1997-09-29 ~ 1998-11-30 |
| Sherard Chiu | 125 Mineola Ave Ste 200, Roslyn Heights, NY 11577-2042 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Vincent Chiu | 3010 W Orange, Anaheim, CA 92804 | Physician/surgeon | 2002-09-09 ~ 2003-09-30 |
| Judy Chiu Do | 47 Perry Drive, Burlington, CT 06013 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Chiu H Taing · Chiu Taing | 70 Cottage St, Bridgeport, CT 06605 | Home Improvement Contractor | ~ 1995-11-01 |
| Margaret S Chiu · Shiu-huey | C/o Mr. & Mrs. Chiu, Huntington Beach, CA 92646 | Dentist | 2002-01-14 ~ 2003-02-28 |
| Rafael G Magana | 96 Valley Rd, Cos Cob, CT 06807-2226 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Rafael E. Torres | 22 River Ter Apt 23c, New York, NY 10282-1154 | Physician/surgeon | 2013-02-01 ~ 2014-01-31 |
| Rafael Z Axen | 34 S. Bedford Rd, Mount Kisco, NY 10549 | Physician/surgeon | ~ |
| Rafael E De La Hoz Mercado | 301 E 79 Street, New York, NY 10021-0940 | Physician/surgeon | 1992-12-22 ~ 1993-12-31 |
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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).