KRISTINA ANN FANUCCI (Credential# 2044165) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
KRISTINA ANN FANUCCI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065521-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 333 Cedar St Rm Www, New Haven, CT 06510-3206. The current status is active.
| Licensee Name | KRISTINA ANN FANUCCI |
| Credential ID | 2044165 |
| Credential Number | 1.065521-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
333 Cedar St Rm Www New Haven CT 06510-3206 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-07-01 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2032287 | CSP.0073442 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-23 | 2020-06-23 - 2021-02-28 | APPROVED |
| 2002796 | 1 | Physician/Surgeon | - | EXPIRED APPLICATION |
| Street Address | 333 CEDAR ST RM WWW |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3206 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Smith Giri | 333 Cedar St Rm Www, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcus Bosenberg | 15 York Street Lmp5031, New Haven, CT 06510-3206 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sarah B Goldberg | 333 Cedar St, Fmp 130, New Haven, CT 06510-3206 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| James L Boyer | 333 Cedar St, New Haven, CT 06510-3206 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Leina S Alrabadi | 333 Cedar St Lmp 4093, New Haven, CT 06510-3206 | Resident Physician | 2015-06-25 ~ 2021-06-30 |
| Dahlia Townsend | 333 Cedar St Tmp 3, New Haven, CT 06510-3206 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Paul A Cedeno | 333 Cedar St # Te-2, New Haven, CT 06510-3206 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jane Coffin Childs Memorial Fund for Medical Research | 333 Cedar St # Smml300mc191, New Haven, CT 06510-3206 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Qingbing Zhu Md | 333 Cedar St # Tmp3, New Haven, CT 06510-3206 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Leonel Rodriguez | 333 Cedar St Lmp 4100, New Haven, CT 06510-3206 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ricardo Arturo Arbizu Alvarez | 333 Cedar St # Lmp4100, New Haven, CT 06510-3206 | Physician/surgeon | 2020-03-13 ~ 2021-03-31 |
| Find all Licenses in zip 06510-3206 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert L Fanucci · Fanucci Painting | 25 Ash St, Fairfield, CT 06824 | Home Improvement Contractor | 2006-12-01 ~ 2007-11-30 |
| Kristina Hunter | 31 Woodland St Apt 7m, Hartford, CT 06105-4337 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
| Kristina C Bystrak | 114 Woodland St, Hartford, CT 06105-1208 | Resident Podiatrist | 2019-06-24 ~ 2022-06-23 |
| William A Fanucci | 30 Woodcrest Rd, Seymour, CT 06483 | Notary Public Appointment | 1997-08-01 ~ 2002-07-31 |
| Kristina Barlow | Po Box 189, Ellicottville, NY 14731-0189 | Naturopathic Physician | 2016-05-01 ~ 2017-04-30 |
| Kristina Marie Dauernheim | 413 Imperial Way, Bayport, NY 11705-1518 | Physician Assistant | ~ |
| Kristina Anello | 693 Orange St, New Haven, CT 06511 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Kristina J Dezielle Rowe Md | 19 Churchill Rd, Newtown, CT 06470 | Physician/surgeon | 2001-03-23 ~ 2002-05-31 |
| Kristina A Delmistro | 10 Griffin Ln, East Williston, NY 11596-1933 | Physician Assistant | 2014-09-24 ~ 2015-08-31 |
| Kristina H Johnson | 85 Seymour Street, Hartford, CT 06106 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).