ADAM JUSTIN PARKER (Credential# 1657693) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 24, 2019. The license expiration date date is June 30, 2021. The license status is ACTIVE.
ADAM JUSTIN PARKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063234-RES. The credential type is resident physician. The effective date is June 24, 2019. The expiration date is June 30, 2021. The business address is 300 George St Ste 901, New Haven, CT 06511-6662. The current status is active.
| Licensee Name | ADAM JUSTIN PARKER |
| Credential ID | 1657693 |
| Credential Number | 1.063234-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
300 George St Ste 901 New Haven CT 06511-6662 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-24 |
| Effective Date | 2019-06-24 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2019-05-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1674664 | CSP.0071863 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-07-10 | 2019-07-10 - 2021-02-28 | ACTIVE |
| 2043438 | 1 | Physician/Surgeon | - | PENDING |
| Street Address | 300 GEORGE ST STE 901 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-6662 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah Abdallah | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-15 ~ 2025-06-30 |
| Samuel Sondalle | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-15 ~ 2025-06-30 |
| Sandhira Wijayaratne | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Dervin Cunningham | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Ashley Moreno | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Eliza Decroce-movson | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Patricia Ekwueme | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Bradford Martins | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Eli Neustadter | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Stephanie Wu | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rachel L Wurmser | 300 George St Ste 901 Rm 21, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ebony Dix | 1450 Chapel Street, New Haven, CT 06511-6662 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Luming Li | 184 Liberty St, New Haven, CT 06511-6662 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ish P Bhalla | 300 George St Ste 901 Rm 21, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| 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 |
|---|---|---|---|
| Victoria Parker | CT | Resident Physician | 2015-06-23 ~ 2021-06-30 |
| Justin R Marcus | 360 State St Apt 716, New Haven, CT 06510-3603 | Resident Physician | 2014-07-07 ~ 2020-06-30 |
| Justin Young | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Justin Kuether | 139 Treadwell St, Hamden, CT 06517-2342 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Adam Fish | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-24 ~ 2021-06-30 |
| Justin Mark Le Blanc | 62 Toledo Ave, Warwick, RI 02888-4133 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Justin Michael Pacor | 123 York St, New Haven, CT 06511-5655 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Justin Alexander Charles | C/o 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Justin Van Minh Nguyen | 100 Temple St Ph 17, New Haven, CT 06510-2711 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Justin Keele Banerdt | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 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).