DAVID BYUNGJIN CHOI (Credential# 1470338) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
DAVID BYUNGJIN CHOI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059992. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 593 Eddy St Dept Neurosurgery, Providence, RI 02903-4923. The current status is active.
| Licensee Name | DAVID BYUNGJIN CHOI |
| Credential ID | 1470338 |
| Credential Number | 1.059992 |
| Credential Type | Physician/Surgeon |
| Business Address |
593 Eddy St Dept Neurosurgery Providence RI 02903-4923 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-02-16 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1472438 | CSP.0067371 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-02-16 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 593 EDDY ST DEPT NEUROSURGERY |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-4923 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gahie Nam | 593 Eddy St, Providence, RI 02903-4923 | Physician/surgeon | 2020-05-07 ~ 2021-05-31 |
| Lifespan Pharmacy LLC Store #001 | 593 Eddy St, Providence, RI 02903-4923 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Karen A Rosene-montella | 593 Eddy St, Providence, RI 02903-4923 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hareem Park | 10 Park Row West, Providence, RI 02903 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Ian Baldwin | 755 Westminster St, Providence, RI 02903 | Architect | ~ |
| Michael J Viveiros | 111 Chestnut St, Providence, RI 02903 | Architect | 2020-08-01 ~ 2021-07-31 |
| Tamara Handerson | 100 Exchange Street, #802, Providence, RI 02903 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Citizens Bank, National Association | One Citizens Plaza, Providence, RI 02903 | Ct Bank Office | 1999-06-17 ~ |
| Nautic Carepathrx Co-invest, L.p. | 50 Kennedy Plaza, Fl12, Providence, RI 02903 | Securities - Exemptions | 2020-04-03 ~ |
| James L Mckeon | One Chestnut Street # 107, Providence, RI 02903 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Angeline M Gingerella | 1 West Exchanges Street Omni Residences, Providence, RI 02903 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Jason Domenic Dollard | 482 West Fountain Street, Providence, RI 02903 | Marital and Family Therapist | 2020-03-01 ~ 2021-02-28 |
| Edward F. Mc Crory | 40 Westminster Street 600, Providence, RI 02903 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| Find all Licenses in zip 02903 | |||
| City | PROVIDENCE |
| Zip Code | 02903 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PROVIDENCE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Soo K Choi Md | 176 Bobby Ln, Manchester, CT 06040-6780 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Julie C Choi Md | 5 Duhamel Dr, Hopewell Jct, NY 12533-5364 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Myung W Choi Md | 22 Westfield Ave, Ansonia, CT 06401 | Physician/surgeon | 2004-02-09 ~ 2005-03-31 |
| Alexander Kwan Choi | Po Box 351, Middletown, CT 06457-7023 | Physician/surgeon | 1983-09-12 ~ 1990-01-31 |
| Patricia H Choi | 66 Glenbrook, Stamford, CT 06902 | Physician/surgeon | 1999-07-02 ~ 2000-07-31 |
| Augustine M Choi | 333 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 1999-10-25 ~ 2000-11-30 |
| Robert Y Choi | 607 Chapel St Unit D, New Haven, CT 06511 | Physician/surgeon | 2005-10-12 ~ 2006-10-31 |
| Myong S Choi | 220 Riverside Blvd., New York, NY 10069 | Physician/surgeon | 2002-05-21 ~ 2004-07-31 |
| Mi (maryann) Y Choi | 409 West Adams Ave, Temple, TX 76501 | Physician/surgeon | 2004-06-18 ~ 2005-03-31 |
| Alex Choi | 58 Kraemer Street, Hicksville, NY 11801 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
Please comment or provide details below to improve the information on DAVID BYUNGJIN CHOI.
| 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).