DENISE E CHANG PA
Physician Assistant


Address: 57 Summary Street, Meriden, CT 06451

DENISE E CHANG PA (Credential# 742528) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 11, 2001. The license expiration date date is June 30, 2002. The license status is INACTIVE.

Business Overview

DENISE E CHANG PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000779. The credential type is physician assistant. The effective date is June 11, 2001. The expiration date is June 30, 2002. The business address is 57 Summary Street, Meriden, CT 06451. The current status is inactive.

Basic Information

Licensee Name DENISE E CHANG PA
Credential ID 742528
Credential Number 23.000779
Credential Type Physician Assistant
Business Address 57 Summary Street
Meriden
CT 06451
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-12-18
Effective Date 2001-06-11
Expiration Date 2002-06-30
Refresh Date 2009-07-10

Other licenses

ID Credential Code Credential Type Issue Term Status
207829 CSP.0027934 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2001-03-01 - 2002-02-28 INACTIVE

Office Location

Street Address 57 SUMMARY STREET
City MERIDEN
State CT
Zip Code 06451

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Lisa A Scott 57 Summary Street, Meriden, CT 06450 Notary Public Appointment 1991-04-15 ~ 1996-04-30

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Robert L. Torres 309 Brownstone Ridge, Meriden, CT 06451 Crane Operator 2018-06-29 ~ 2020-06-28
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Sarah C Matteson 18 Steuben St, Meriden, CT 06451 Registered Nurse 2020-08-01 ~ 2021-07-31
Valerie Mari Dejesus 36c Kiki Drive, Meriden, CT 06451 Hairdresser/cosmetician ~
Tiffaney A Williams 158 Byron Road, Meriden, CT 06451 Registered Nurse 2020-07-01 ~ 2021-06-30
Meriden Oil Co 30 Knob Hill Rd, South Meriden, CT 06451 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Amal Abouchacra · Sam's Market 167 Lewis Avenue, Meriden, CT 06451 Grocery Beer 2020-07-31 ~ 2021-07-30
Carmen J Vazquez 173 Fourth St, Meriden, CT 06451 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
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Competitor

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City MERIDEN
Zip Code 06451
License Type Physician Assistant
License Type + County Physician Assistant + MERIDEN

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Dataset Information

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).

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