NICHOLAS K YUNG (Credential# 1492208) 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.
NICHOLAS K YUNG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059943-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 1050 State St, New Haven, CT 06511. The current status is active.
| Licensee Name | NICHOLAS K YUNG |
| Credential ID | 1492208 |
| Credential Number | 1.059943-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
1050 State St New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-13 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1427182 | CSP.0065637 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-06-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1050 State St |
| City | New Haven |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer Hill | 1050 State St, New Haven, CT 06511 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Rachel S Gleiman | 1050 State St, New Haven, CT 06511-2762 | Pharmacy Technician | 2020-01-16 ~ 2021-03-31 |
| Michelle W Donaghey | 1050 State St, New Haven, CT 06511 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Jessie Gay | 1050 State St, New Haven, CT 06511-2762 | Controlled Substance Registration for Practitioner | 2019-08-13 ~ 2021-02-28 |
| Mark Tatera | 1050 State St, New Haven, CT 06511-4925 | Controlled Substance Registration for Practitioner | 2019-03-28 ~ 2021-02-28 |
| Ashley Rose Bowers | 1050 State St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nikhil Chawla | 1050 State St, New Haven, CT 06511-2766 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ahmet S Gork | 1050 State St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | New Haven |
| Zip Code | 06511 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas Peters | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Nicholas M Zwolinski | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Nicholas Heliotis | 34 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Nicholas A Read | 90 S Main St, Middletown, CT 06457-3649 | Resident Physician | 2020-06-22 ~ 2024-06-27 |
| Nicholas Calitri | 130 Division St, Derby, CT 06418-1326 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Nicholas J. Izor | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Nicholas R Cormier | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Nicholas Paul Tarangelo | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Nicholas Vincent Barresi | 750 Quinnipiac Ave Apt 4, New Haven, CT 06513-3367 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
| Nicholas Ov Cunningham | 50 Grove Street Apt 4, Manchester, CT 06042 | Resident Physician | 2020-07-01 ~ 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).