RAHIWA ZEFERTSION GEBRE (Credential# 1491690) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
RAHIWA ZEFERTSION GEBRE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059425-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 297 George Street, CT CT. The current status is active.
| Licensee Name | RAHIWA ZEFERTSION GEBRE |
| Credential ID | 1491690 |
| Credential Number | 1.059425-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
297 George Street CT CT |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-12 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1429162 | CSP.0065763 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-06-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 297 GEORGE STREET |
| State | CT |
| Zip Code | CT |
| Zip Code | CT |
| License Type | Resident Physician |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yan Zhu | 27 Brainerd Rd # B, Branford, CT 06405-6302 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jennifer A Guy | 6 Early Dr Apt K, Watervliet, NY 12189-2517 | Resident Physician | ~ |
| Jia Wei Tan | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Victoria Parker | CT | Resident Physician | 2015-06-23 ~ 2021-06-30 |
| Gin Yi Lee | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
| Tao Zuo | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-07-25 ~ 2020-06-30 |
| Jin Woo Yoo | 44 Orange St Apt 317, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Daniel Le Bui | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Ignatius Ang | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Aradia X Fu | 152 Temple St, New Haven, CT 06510-2604 | Resident Physician | 2015-06-25 ~ 2021-06-30 |
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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).