CHRISTOPHER O'BRIAN PHILLIPS (Credential# 1526515) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
CHRISTOPHER O'BRIAN PHILLIPS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061976. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 111 Park St Apt 5d, New Haven, CT 06511-5452. The current status is active.
| Licensee Name | CHRISTOPHER O'BRIAN PHILLIPS |
| Credential ID | 1526515 |
| Credential Number | 1.061976 |
| Credential Type | Physician/Surgeon |
| Business Address |
111 Park St Apt 5d New Haven CT 06511-5452 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-09-28 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1605327 | CSP.0069653 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-10-03 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 111 PARK ST APT 5D |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-5452 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brandon Hayse | 111 Park St Apt 5f, New Haven, CT 06511-5452 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Connie Tran Kim | 111 Park St Apt 5a, New Haven, CT 06511-5452 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Merilyn Varghese | 111 Park St Apt 5f, New Haven, CT 06511-5452 | 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 | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian Christopher Roberts | 545 1st Ave., New York, NY 10016 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Cynthia M Casucci Md | 151 Phillips Rd, Hopewell Jct, NY 12533 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Arnold I Charow | 4 Phillips Lane, Rye, NY 10580 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| James E Phillips | 88 Noble Ave, Milford, CT 06460 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Steven Phillips | 944 Danbury Rd, Wilton, CT 06897 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Truvor Bodnar | 63 Phillips St, Middletown, NY 10940 | Physician/surgeon | 1993-02-25 ~ 1994-03-31 |
| Ali Haider | 51 Phillips Place, Northampton, MA 01060 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Carlton C Phillips | 2 Church St So, New Haven, CT 06519 | Physician/surgeon | 1995-12-08 ~ 1997-01-31 |
| Doris J Phillips | 3 Aspen Court, Bloomfield, CT 06002 | Physician/surgeon | 2009-03-27 ~ 2010-01-31 |
| Roland T. Phillips IIi | 11 Timber Trce, Ballston Spa, NY 12020-3721 | Physician/surgeon | 2014-10-01 ~ 2015-09-30 |
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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).