ANSELM WONG MD (Credential# 915081) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2012. The license expiration date date is August 31, 2013. The license status is PENDING.
ANSELM WONG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048907. The credential type is physician/surgeon. The effective date is September 1, 2012. The expiration date is August 31, 2013. The business address is 38 Republic Dr Apt 129, Bloomfield, CT 06002-5465. The current status is pending.
| Licensee Name | ANSELM WONG MD |
| Credential ID | 915081 |
| Credential Number | 1.048907 |
| Credential Type | Physician/Surgeon |
| Business Address |
38 Republic Dr Apt 129 Bloomfield CT 06002-5465 |
| Business Type | INDIVIDUAL |
| Status | PENDING - REINSTATEMENT APPLICATION PENDING |
| Issue Date | 2010-06-15 |
| Effective Date | 2012-09-01 |
| Expiration Date | 2013-08-31 |
| Refresh Date | 2015-06-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 944414 | CSP.0048103 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-08-17 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 38 REPUBLIC DR APT 129 |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-5465 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paula L Raines | 92 Daniel Blvd, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Kesone Taletia Telfer | 36 Walsh Street, Bloomfield, CT 06002 | Advanced Practice Registered Nurse | ~ |
| Joan Zito Upton | 106 Duncaster Road, Bloomfield, CT 06002 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Sheri M Sparks | Primary Eye Care Center, Bloomfield, CT 06002 | Optometrist | 2020-09-01 ~ 2021-08-31 |
| Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Healing Meals Foundation Corporation | Po Box 7223, Bloomfield, CT 06002 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Taylor A West | 5 Tiffany Ln, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Emma J Ranel | 53 Burr Road, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Dorothy W Field | 177 Oliver Way, Bloomfield, CT 06002 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Carol J Mortensen | 6 Maple Edge Dr, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06002 | |||
| City | BLOOMFIELD |
| Zip Code | 06002 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BLOOMFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward Anselm | 201 E. 17th Street, Apt. 27b, New York, NY 10003 | Physician/surgeon | ~ |
| Julielynn Y Wong | 828 Dundas St West, Toronto, ON M6J 1V3 | Physician/surgeon | ~ |
| James J Y Wong | 102 East Ave, Norwalk, CT 06851 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Edison H Wong | 801 N Orange Ave, Orlando, FL 32801 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Kei Wong | 100 York Street, New Haven, CT 06511 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jean Wong Md | 455 Lewis Ave Ste 210, Meriden, CT 06451-2121 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Brian Wong | 462 Queen St., Southington, CT 06489 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jennifer L Wong | 800 Howard Avenue, New Haven, CT 06519 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Andrew S Wong | 260 Blue Trail, Hamden, CT 06518 | Physician/surgeon | 2005-09-06 ~ 2006-10-31 |
| Jean Z Wong | 1011 Via Del Pozo, Los Altos, CA 94022 | Physician/surgeon | 1996-12-09 ~ 1997-12-31 |
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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).