EDWARD MICHAEL ZITNIK (Credential# 1792623) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is January 6, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
EDWARD MICHAEL ZITNIK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064416-RES. The credential type is resident physician. The effective date is January 6, 2020. The expiration date is January 31, 2021. The business address is 20 York Street, New Haven, CT 06511. The current status is active.
| Licensee Name | EDWARD MICHAEL ZITNIK |
| Credential ID | 1792623 |
| Credential Number | 1.064416-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
20 York Street New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-01-06 |
| Effective Date | 2020-01-06 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2020-01-07 |
| Street Address | 20 YORK STREET |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tiantian Shi | 20 York Street, New Haven, CT 06510 | Resident Physician | 2018-06-25 ~ 2022-06-30 |
| Mohammad Zain-ul-abideen | 20 York Street, New Haven, CT 06510 | Resident Physician | 2019-07-05 ~ 2021-07-04 |
| Brita Roy | 20 York Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Christopher Morton | 20 York Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sean X Gu | 20 York Street, New Haven, CT 06450 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Deepika Kumar | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Colin Klenk | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Rodrigo Salas Zubillago | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-06-24 ~ 2021-06-30 |
| Fernando A Pinero | 20 York Street, New Haven, CT 06510 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
| Jacob D. Siegel | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| 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 |
|---|---|---|---|
| Ralph J Zitnik | 606 E Valerio St, Santa Barbara, CA 93103-1954 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Edward Lee | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-24 ~ 2021-06-30 |
| Edward Manning | 102 Seymour Rd, Woodbridge, CT 06525 | Resident Physician | 2016-07-01 ~ 2021-06-30 |
| Edward Gillis | 35 Prospect Ave, Lynbrook, NY 11563-3931 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Edward John Detweiler | 476 Roy St, West Hempstead, NY 11552-2228 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Alexander Edward Frey | 305 George St Apt 3b, New Haven, CT 06511-6681 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Alex Edward Blanchette | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Edward Victor Singh | 301 Commons Park South Unit 502, Stamford, CT 06902 | Resident Physician | 2019-07-22 ~ 2021-06-30 |
| Michael Nowicki | 155 Joy Rd, Waterbury, CT 06708-2464 | Resident Physician | 2013-06-28 ~ 2019-06-27 |
| Michael Kuo | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-24 ~ 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).