SUSAN M WANG (Credential# 563022) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
SUSAN M WANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045440-DO. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 2068 Bridgeport Ave, Milford, CT 06460. The current status is active.
| Licensee Name | SUSAN M WANG |
| Credential ID | 563022 |
| Credential Number | 1.045440-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
2068 Bridgeport Ave Milford CT 06460 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-05-30 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 378383 | CSP.0035591 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-06-27 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1234265 | CSP.0058070 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE | |
| 474678 | CSP.0041648 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | 2068 Bridgeport Ave |
| City | Milford |
| State | CT |
| Zip Code | 06460 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Battilocchi | 2068 Bridgeport Ave, Milford, CT 06460 | Naturopathic Physician | 2020-04-01 ~ 2021-03-31 |
| Gregory J Schmitt | 2068 Bridgeport Ave, Milford, CT 06460-4634 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward R Esposito | 2068 Bridgeport Ave, Milford, CT 06460 | Dentist | 1992-08-26 ~ 1993-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Milford Council On Aging | 9 Jepson Drive, Milford, CT 06460 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| James J Melanson | 319 Welch's Point Road, Milford, CT 06460 | Optician | 2020-08-01 ~ 2021-07-31 |
| Robert J Colum | 61 Melba St, Milford, CT 06460 | Professional Engineer | 2020-06-16 ~ 2021-01-31 |
| James E Phillips | 88 Noble Ave, Milford, CT 06460 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Douglas H Gruber | 33 Lincoln Ave, Milford, CT 06460 | Licensed Alcohol and Drug Counselor | 2020-06-01 ~ 2021-05-31 |
| Christine D Rettig | 1 Schooner Lane, Milford, CT 06460 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Golden Dragon Inc | 262 D Quarry Rd, Mildord, CT 06460 | Food Warehouse | ~ |
| Kelli-ann Armstrong | 50 Cherry Street, Milford, CT 06460 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Mary C Cohen | 9 Stevens Street, Milford, CT 06460 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Nicole Wilson | 26 Daggett Street, Milford, CT 06460 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06460 | |||
| City | Milford |
| Zip Code | 06460 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Milford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan S Wang Md | 240 Green Hollow Rd, Danielson, CT 06239 | Physician/surgeon | 2002-02-28 ~ 2003-02-28 |
| Susan Ying Wang | 2825 Oak Lawn Ave Unit 192749, Dallas, TX 75219-4688 | Physician/surgeon | 2020-06-03 ~ 2021-01-31 |
| Asher S Wang · Xinsheng Wang | 41 Brewster Road, Bristol, CT 06010 | Physician/surgeon | 2012-06-14 ~ 2013-10-31 |
| Jen Min Wang | 6647 Armitos Dr, Camarillo, CA 93012 | Physician/surgeon | ~ |
| Changzheng Wang | 4 Hickory Ln, Warren, NJ 07059-2602 | Physician/surgeon | ~ |
| Hao Wang Md | 133 Brookline Ave, Boston, MA 02215-3904 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Guixiang Wang | 40-19 172nd St, Flushing, NY 11358-2723 | Physician/surgeon | ~ |
| Emily A Wang Md | 367 Cedar St., New Haven, CT 06510 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Ying Wang | 169 Neal St., Portland, ME 04102 | Physician/surgeon | 2004-03-08 ~ 2005-02-28 |
| Chen Wang | 131 Rieser Cir, Naperville, IL 60565-2033 | Physician/surgeon | 2011-02-10 ~ 2011-09-30 |
Please comment or provide details below to improve the information on SUSAN M WANG.
| 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).