ISABEL SOFIA BAZAN (Credential# 1419681) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
ISABEL SOFIA BAZAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056925. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is Yale-new Haven Medical Center - P.o Box 208057, New Haven, CT 06519-1612. The current status is active.
| Licensee Name | ISABEL SOFIA BAZAN |
| Credential ID | 1419681 |
| Credential Number | 1.056925 |
| Credential Type | Physician/Surgeon |
| Business Address |
Yale-new Haven Medical Center - P.o Box 208057 New Haven CT 06519-1612 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-08-22 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1490585 | 1.058687-RES | Resident Physician | 2016-07-01 | 2016-07-01 - 2021-06-30 | ACTIVE |
| 1171108 | CSP.0055121 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-07-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | Yale-New Haven Medical Center - P.O Box 208057 |
| City | New Haven |
| State | CT |
| Zip Code | 06519-1612 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Sanchez Rangel | 300 Cedar St Ofc Of, New Haven, CT 06519-1612 | Physician/surgeon | 2020-06-16 ~ 2021-03-31 |
| Lenore M Buckley | 300 Cedar St, New Haven, CT 06519-1612 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Zachary Lipkin-moore | 300 Cedar St # 441, New Haven, CT 06519-1612 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Alexander Robert Ghincea | 300 Cedar St Tac S425, New Haven, CT 06519-1612 | Resident Physician | 2020-04-03 ~ 2021-06-30 |
| Zachary Michael Harris | 300 Cedar St Tac S-425, New Haven, CT 06519-1612 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Brinda Emu | 300 Cedar St Tac S169, New Haven, CT 06519-1612 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Cristina M Brunet Md | 300 Cedar St # S541, New Haven, CT 06519-1612 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Janice Hwang | 1 Gilbert St, New Haven, CT 06519-1612 | Controlled Substance Laboratory | 2020-02-01 ~ 2021-01-31 |
| Andrew Wang | 1 Gilbert Street., New Haven, CT 06519-1612 | Controlled Substance Laboratory | 2020-02-26 ~ 2021-01-31 |
| Richard Lifton · Yale University School of Medicine | 300 Cedar St # Tac-s-340, New Haven, CT 06519-1612 | Controlled Substance Laboratory | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 06519-1612 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | New Haven |
| Zip Code | 06519 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hernan A Bazan Md | 109 Church St #521, New Haven, CT 06510 | Physician/surgeon | 2007-01-16 ~ 2008-01-31 |
| Sofia R Din | 2 Old Army Rd, Scarsdale, NY 10583 | Physician/surgeon | 2009-07-07 ~ 2010-04-30 |
| Sofia Naz | 199 Underhill Street, Yonkers, NY 10710 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Sofia S Jakab Md | 40 Temple St Ste 1a, New Haven, CT 06510 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Mariam Sofia Aboian | 3 Marion Lane, Woodbridge, CT 06525 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Isabel S Rathbone | 75 Peck Rd, Bethany, CT 06524 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Isabel Gross | 20 York St, New Haven, CT 06510-3220 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Ferne R Braveman | 261 Isabel Street, Los Angeles, CA 90065 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Isabel N Morais | 5 Derby Street, Newton, MA 02465 | Physician/surgeon | 2007-06-25 ~ 2008-07-31 |
| Alicia Isabel Robbins | 2700 Westchester Ave, Purchase, NY 10577-2547 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).