LAURA T PHAM (Credential# 561254) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LAURA T PHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043672. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 22 Woodbine Road, Woodbridge, CT 06525. The current status is active.
| Licensee Name | LAURA T PHAM |
| Credential ID | 561254 |
| Credential Number | 1.043672 |
| Credential Type | Physician/Surgeon |
| Business Address |
22 Woodbine Road Woodbridge CT 06525 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-07-25 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-26 |
| Street Address | 22 Woodbine Road |
| City | Woodbridge |
| State | CT |
| Zip Code | 06525 |
| 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 |
|---|---|---|---|
| Victoria I. Pham | 59 Hastings Ln, Stamford, CT 06905-2902 | Physician/surgeon | ~ |
| Thao N Pham | 312 Garibaldi Ave, Stratford, CT 06497 | Physician/surgeon | ~ 1999-03-31 |
| Kim Thu C Pham Md | 104 Genesee Lane, Madison, CT 06443 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Peter A Pham | One River Place, Apt. 702, New York, NY 10036 | Physician/surgeon | 2002-11-07 ~ 2003-11-30 |
| Victoria Pham | 59 Hastings Lane, Stamford, CT 06905 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Justin Pham | 10 Torrey Pines Ln, Newport Beach, CA 92660-5139 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Charlotte Uyen Pham | 1501 White Pine Dr, Durham, NC 27705-7521 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Laura Tl Pham Md | 425 High Street, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Laura Popper | 116 E 66th St, New York, NY 10065-6547 | Physician/surgeon | ~ |
| Laura Chen | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on LAURA T PHAM.
| 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).