CLIFFORD HYUN MIN SHIN (Credential# 1516801) 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.
CLIFFORD HYUN MIN SHIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061042-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 20 York St Rm 226, New Haven, CT 06510-3220. The current status is active.
| Licensee Name | CLIFFORD HYUN MIN SHIN |
| Credential ID | 1516801 |
| Credential Number | 1.061042-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
20 York St Rm 226 New Haven CT 06510-3220 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-11 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1514476 | CSP.0068126 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-05-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 20 YORK ST RM 226 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3220 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly Mcginnis Hager | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Devika Dhandapani Sparks | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-06-01 ~ 2021-06-30 |
| Deborah Motolani Oyeyemi | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Jonathan Casazola | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Arash Aghajani Nargesi | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Catherine Mezzacappa | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Gbambele Kone | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jane Xiaojie Liao | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Goran Micevic | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Yaser Al-jobory | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charu Singh | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Abhijeet Gummadavelli | 20 York St Lci 8, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Raymond A Jean | 20 York St Tompkins 209, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jenny Yang | 20 York St Tompkins 2 Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Mark Archer Eckardt | 20 York St. Tompkins 2, Room 226, New Haven, CT 06510-3220 | Resident Physician | 2020-06-22 ~ 2021-06-30 |
| Adrienne Brooke Mejia | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Lamia Y Haque | 20 York St Tmp 209, New Haven, CT 06510-3220 | Resident Physician | 2016-08-22 ~ 2021-06-30 |
| Melissa A Gibson | 20 York St Lmp 1072, New Haven, CT 06510-3220 | Resident Physician | 2016-06-30 ~ 2021-06-30 |
| Dennis L Shung | 20 York St Tomkins 209, New Haven, CT 06510-3220 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Allison Berken | 20 York St Tomkins 226, New Haven, CT 06510-3220 | Resident Physician | 2019-08-01 ~ 2021-06-30 |
| Find all Licenses in zip 06510-3220 | |||
| 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 |
|---|---|---|---|
| Hyun Hee Kim | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Junghee J Shin | Shelton, CT 06464 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Emily Hyun | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2018-06-11 ~ 2022-06-30 |
| Yong Shin | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2018-06-21 ~ 2021-06-30 |
| Naomi S Shin | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Hyun Sook Shin | 500 E 63rd St Apt 188, New York, NY 10065-7946 | Dentist | 2013-08-14 ~ 2014-06-30 |
| Shin Rong Lee | 20 York St Tompkins 2, Room 226, New Haven, CT 06510 | Resident Physician | 2020-06-22 ~ 2021-06-30 |
| Kwang Hyun Shin | 3520 147st Apt12d, Flushing, NY 11354 | Nail Technician | ~ |
| Hyun Won Shin Dds | 422 Main St Fl 1, Fort Lee, NJ 07024-2861 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Kwang Hyun Shin | 3520 147th St Apt 12d, Flushing, NY 11354-3767 | Massage Therapist | 2020-03-01 ~ 2022-02-28 |
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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).