TIMOTHY Y TRAN (Credential# 1602973) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
TIMOTHY Y TRAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062171. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 365 Montauk Ave, New London, CT 06320-4700. The current status is active.
| Licensee Name | TIMOTHY Y TRAN |
| Credential ID | 1602973 |
| Credential Number | 1.062171 |
| Credential Type | Physician/Surgeon |
| Business Address |
365 Montauk Ave New London CT 06320-4700 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-12-12 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1620276 | CSP.0069989 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-12-13 | 2018-12-13 - 2021-02-28 | ACTIVE |
| Street Address | 365 MONTAUK AVE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4700 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David F Reisfeld | 365 Montauk Ave, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicholas Wyatt Miller | 365 Montauk Ave, New London, CT 06320-4700 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Courtney Elizabeth Peck | 365 Montauk Ave, New London, CT 06320-4700 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Prakash Kandel | 365 Montauk Ave, New London, CT 06320-4700 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Susan Collemer | 365 Montauk Ave, New London, CT 06320 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Raymond Mark Villalobos | 365 Montauk Ave, New London, CT 06320-4700 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Seth P Dubin, Pa | 365 Montauk Ave, New London, CT 06320-4700 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Lawrence + Memorial Hospital | 365 Montauk Ave, New London, CT 06320-4700 | General Hospital | 2019-04-01 ~ 2021-03-31 |
| Neil Panchal | 365 Montauk Ave, New London, CT 06320-4700 | Controlled Substance Registration for Practitioner | 2020-03-09 ~ 2021-02-28 |
| Mina Masry | 365 Montauk Ave, New London, CT 06320-4700 | Controlled Substance Registration for Practitioner | 2020-02-25 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
| Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
| Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
| Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
| Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
| Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06320 | |||
| City | NEW LONDON |
| Zip Code | 06320 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW LONDON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bao C Tran | 175 W La Verne Ave, Pomona, CA 91767 | Physician/surgeon | 2004-01-05 ~ 2005-01-31 |
| Phi V Tran | 14 Edgewater Ave, Shrewsbury, MA 01545 | Physician/surgeon | 2007-06-27 ~ 2008-08-31 |
| Helen L Tran | 210 Sand St Fl 2, Mamaroneck, NY 10543-3433 | Physician/surgeon | 2012-07-31 ~ 2013-07-31 |
| Teresa A Tran | 109 Kaye Vue Dr, Hamden, CT 06514 | Physician/surgeon | 1992-05-27 ~ 1993-05-31 |
| Tai T Tran | 19770 Tyrone Ct, Brookfield, WI 53045-2150 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Ha Tran | 1515 Sugarcreek, Sugarland, TX 77478 | Physician/surgeon | 2001-01-16 ~ 2002-02-28 |
| William C Tran | 3640 Main St Ste 103, Springfield, MA 01107-1139 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
| Thuy T Tran | 343 Beach St Apt 606, West Haven, CT 06516-6173 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Phat T Tran | 2 Leone Close, Scarsdale, NY 10583-3112 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Ann Do Tran | 865 Northern Boulevard Suite 202, Great Nack, NY 11021 | Physician/surgeon | ~ |
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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).