IRVIN M MODLIN (Credential# 545706) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
IRVIN M MODLIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.025885. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 11 Tulip Tree Ln, Woodbridge, CT 06525-1414. The current status is active.
| Licensee Name | IRVIN M MODLIN |
| Credential ID | 545706 |
| Credential Number | 1.025885 |
| Credential Type | Physician/Surgeon |
| Business Address |
11 Tulip Tree Ln Woodbridge CT 06525-1414 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1984-08-16 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-13 |
| Street Address | 11 TULIP TREE LN |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525-1414 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sushil K Gupta | 19 Tulip Tree Ln, Woodbridge, CT 06525-1414 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
| Find all Licenses in zip 06525 | |||
| City | WOODBRIDGE |
| Zip Code | 06525 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WOODBRIDGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Irvin M Modlin Md | 333 Cedar St #tompkins 203, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Irvin R Jennings Md | 75 West St, Danbury, CT 06810-6528 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Bryan T Irvin | 1215 Greenmont Cir, Vienna, WV 26105 | Physician/surgeon | ~ 1998-08-31 |
| Michelle A Irvin | 1215 Greenmont Cr, Vienna, WV 26105 | Physician/surgeon | 1997-11-04 ~ 1998-10-31 |
| Scott Irvin · Irvin Weld Works | 123 Tripp Rd, Ellington, CT 06029-3640 | Home Improvement Contractor | 2019-04-09 ~ 2019-11-30 |
| Jonathan E Irvin · Jonathan Irvin's Painting Landscaping | 8 Linda Ct, Groton, CT 06340-3809 | Home Improvement Contractor | 2008-01-11 ~ 2008-11-30 |
| Irvin S Rivera | 21 Union St, Meriden, CT 06451-3140 | Hairdresser/cosmetician | 2019-11-01 ~ 2021-10-31 |
| Olga Perez-irvin | 67 Hammond St, Vernon, CT 06066-3634 | Milk Examiner | 2014-08-31 ~ 2016-08-30 |
| Irvin L Leining Jr. | P.o. Box 396, Durham, CT 06422 | Emergency Medical Responder | 2007-03-30 ~ 2009-01-01 |
| Michelle R Irvin | 7 Higate Ln, Simsbury, CT 06070-1005 | Dietitian/nutritionist | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on IRVIN M MODLIN.
| 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).