IAN L BAINE (Credential# 1490578) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2021. The license status is ACTIVE.
IAN L BAINE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058680-RES. The credential type is resident physician. The effective date is July 1, 2017. The expiration date is June 30, 2021. The business address is 420 Fountain St, New Haven, CT 06515. The current status is active.
| Licensee Name | IAN L BAINE |
| Credential ID | 1490578 |
| Credential Number | 1.058680-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
420 Fountain St New Haven CT 06515 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2017-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1235181 | CSP.0058178 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-07-21 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 420 Fountain St |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew J Paris | 420 Fountain St, New Haven, CT 06515-2629 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lakiya D Nichols | 114 Davis Street, New Haven, CT 06515 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Danielle E Guadalupe | 30 Whittier Road, New Haven, CT 06515 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Mcdonald's | 1094 Whalley Ave, New Haven, CT 06515 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Hilda Rocio Sanango | 86 Springside Av, New Haven, CT 06515 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Manuel Francisco Cabrera | 86 Springside Av Apt D5, New Haven, CT 06515 | Nail Technician | ~ |
| Arthur L Sanders | 2001 Chapel St, New Haven, CT 06515 | Architect | 2020-08-01 ~ 2021-07-31 |
| Athan Construction LLC | 243 West Elm St, New Haven, CT 06515 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Jessica L Feinleib | 72 Barnett, New Haven, CT 06515 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joyce A Gambrell-jones | 241 Alden Ave, New Haven, CT 06515 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Charmaine Waller | 110 Harper Ave, New Haven, CT 06515 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06515 | |||
| City | NEW HAVEN |
| Zip Code | 06515 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marina K Baine | 20 York Street, New Haven, CT 06510 | Resident Physician | 2018-07-01 ~ 2019-06-30 |
| Amanda Collins-baine Md | 53 Old Kings Hwy N Ste 205, Darien, CT 06820-4735 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elaine H Baine | 869 Farmington Ave Apt 208, West Hartford, CT 06119-1404 | Registered Nurse | 2013-08-01 ~ 2014-07-31 |
| Jacqueline T Kammer · Baine | 2025 Brackettville, Forney, TX 75126-5169 | Dental Hygienist | 2020-05-01 ~ 2021-04-30 |
| Jason W Baine | 66 Kick Hill Rd, Lebanon, CT 06249 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Jack P Baine Dds | 361 Park Rd, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Terrance R Baine | 39 Old New London Road, Salem, CT 06420 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Jessica Angeli Baine | 66 Kick Hill Rd, Lebanon, CT 06249 | Licensed Clinical Social Worker | 2019-08-01 ~ 2020-07-31 |
| Celeste W Baine | Old Cider Mill Lane, Marlborough, CT 06447 | Notary Public Appointment | 1974-12-01 ~ 1979-03-31 |
| Victoria Parker | CT | Resident Physician | 2015-06-23 ~ 2021-06-30 |
Please comment or provide details below to improve the information on IAN L BAINE.
| 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).