TRISTEN SINAE PARK (Credential# 1444606) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
TRISTEN SINAE PARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0066662. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 200 College Street, New Haven, CT 06510. The current status is active.
| Licensee Name | TRISTEN SINAE PARK |
| Credential ID | 1444606 |
| Credential Number | CSP.0066662 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
200 College Street New Haven CT 06510 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-08-24 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1426109 | 1.056912 | Physician/Surgeon | 2017-08-18 | 2019-12-01 - 2020-11-30 | ACTIVE |
| Street Address | 200 College Street |
| City | New Haven |
| State | CT |
| Zip Code | 06510 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Talyah Uslianer | 200 College Street, New Haven, CT 06510 | Master's Level Social Worker | 2020-03-02 ~ 2021-03-31 |
| Elizabeth Horn Prsic | 200 College Street, New Haven, CT 06510-2451 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Austin Revvie Green | 200 College Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2017-07-11 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | New Haven |
| Zip Code | 06510 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Meyeon Park | 246 Park Street Apartment 23, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Michael Minchul Park | 226 Orchard Park, Allendale, NJ 07401-1746 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| John J Khadem Md | 3003 New Hydg Park Suite 311, New Hyde Park, NY 11040 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Fred Joseph De Lucia | 3003 New Hyde Park Rd Ste 312, New Hyde Park, NY 11042-1214 | Controlled Substance Registration for Practitioner | 2019-09-10 ~ 2021-02-28 |
| Sai Mi Kim | 456 Park St, Hartford, CT 06106-1525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Susan J Lee | 111 Park St Apt 14e, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-09-14 ~ 2005-02-28 |
| Neha Lad | 111 Park St Apt 9c, New Haven, CT 06511-5432 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| How Yee Heidi Hon | 2 Park Pl Apt 11h, Hartford, CT 06106-5012 | Controlled Substance Registration for Practitioner | 2013-03-06 ~ 2015-02-28 |
| Natalie Uy | 111 Park St Apt 9e, New Haven, CT 06511-5432 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kyung M Kim | 202 Park St Apt 3, New Haven, CT 06511-4734 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on TRISTEN SINAE PARK.
| 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).