SEA SHIN (Credential# 1492090) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2019. The license status is INACTIVE.
SEA SHIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059825-RES. The credential type is resident physician. The effective date is July 1, 2018. The expiration date is June 30, 2019. The business address is Yale New Haven Hospital 20 York St. Tompkins 226, New Haven, CT 06510. The current status is inactive.
| Licensee Name | SEA SHIN |
| Credential ID | 1492090 |
| Credential Number | 1.059825-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
Yale New Haven Hospital 20 York St. Tompkins 226 New Haven CT 06510 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2017-07-01 |
| Effective Date | 2018-07-01 |
| Expiration Date | 2019-06-30 |
| Refresh Date | 2019-07-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1286767 | CSP.0060327 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-06-10 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | Yale New Haven Hospital 20 York St. Tompkins 226 |
| City | New Haven |
| State | CT |
| Zip Code | 06510 |
| 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 | Resident Physician |
| License Type + County | Resident Physician + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Junghee J Shin | Shelton, CT 06464 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Naomi S Shin | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Yong Shin | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2018-06-21 ~ 2021-06-30 |
| Clifford Hyun Min Shin | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Shin Rong Lee | 20 York St Tompkins 2, Room 226, New Haven, CT 06510 | Resident Physician | 2020-06-22 ~ 2021-06-30 |
| James Hyungjin Shin | 20 York Street, New Haven, CT 06510-3220 | Resident Dentist | 2020-06-22 ~ 2021-06-30 |
| Shin Su Kim | Hongo, Tokyo, 1130033 | Physician/surgeon | 2017-10-01 ~ 2018-09-30 |
| Yeo Yang Shin | C/o Nvra, Southbury, CT 06488 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Chung K Shin | 91 East Ave, Norwalk, CT 06851 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David H Shin | 6 Harbour Close, New Haven, CT 06519 | Physician/surgeon | ~ 1997-05-31 |
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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).