HENRY LIN (Credential# 1988381) 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.
HENRY LIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064703. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 25 Newell Rd Ste C-4, Bristol, CT 06010-5100. The current status is active.
Licensee Name | HENRY LIN |
Credential ID | 1988381 |
Credential Number | 1.064703 |
Credential Type | Physician/Surgeon |
Business Address |
25 Newell Rd Ste C-4 Bristol CT 06010-5100 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-12-31 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-03-23 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1996047 | CSP.0072972 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-01-02 | 2020-01-02 - 2021-02-28 | ACTIVE |
Street Address | 25 NEWELL RD STE C-4 |
City | BRISTOL |
State | CT |
Zip Code | 06010-5100 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
Find all Licenses in zip 06010 |
City | BRISTOL |
Zip Code | 06010 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BRISTOL |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Henry W Wagner | 30 North St, Rye, NY 10580 | Physician/surgeon | 2001-01-31 ~ 2002-01-31 |
Henry Lee | 760 Saybrook Rd, Middletown, FL 06457 | Physician/surgeon | 2020-03-04 ~ 2021-03-31 |
Henry B Low | 85 Seymour St Ste 919, Hartford, CT 06106-5528 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Henry M Spinelli | 875 5th Ave, New York, NY 10065-4952 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Henry C Bohler Jr | 541 Chapel St, New Haven, CT 06511 | Physician/surgeon | 1992-09-24 ~ 1993-10-31 |
Henry T Bonney | 26 Bayview Rd, Charlestown, RI 02813 | Physician/surgeon | 1998-02-25 ~ 1999-03-31 |
Henry A Schaeffer | 170 Rugby Rd, Brooklyn, NY 11226 | Physician/surgeon | 2011-06-01 ~ 2012-05-31 |
Delia J Wu | 900 E. Patrick Henry, Burkeville, VA 23922 | Physician/surgeon | 1995-10-10 ~ 1996-11-30 |
Henry B Hofbauer | 863 No. Main St Ext, Wallingford, CT 06492 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
Henry M Rubinstein | 947 Riverbank Rd, Stamford, CT 06903-2713 | Physician/surgeon | 2017-12-01 ~ 2018-11-30 |
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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).