HYUN SUK LEE MD (Credential# 554694) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
HYUN SUK LEE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037104. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 99 East River Dr, 5th Fl, East Hartford, CT 06108-7301. The current status is active.
Licensee Name | HYUN SUK LEE MD |
Credential ID | 554694 |
Credential Number | 1.037104 |
Credential Type | Physician/Surgeon |
Business Address |
99 East River Dr, 5th Fl East Hartford CT 06108-7301 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1998-07-17 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-02-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
159662 | CSP.0027276 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 99 EAST RIVER DR, 5th FL |
City | EAST HARTFORD |
State | CT |
Zip Code | 06108-7301 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lucy Carriero Md | 99 East River Dr, 5th Fl, East Hartford, CT 06108 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
William Ceruzzi Md | 99 East River Dr, 5th Fl, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Nicholas H Bube Md | 99 East River Dr, 5th Fl, East Hartford, CT 06108-8307 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Donald Gordon Pa | 99 East River Dr, 5th Fl, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
David Chung Md | 99 East River Dr, 5th Fl, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Mariann Clubb Md | 99 East River Dr, 5th Fl, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Deanne Daggett Md | 99 East River Dr, 5th Fl, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Peter U Shen | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
James C Wickwire Md · Hartford Anesthesiology Associates | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Joseph F Gerace Do | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Cally A Regan | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Elizabeth Beatson Aprn | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Gregory L Kernisan Md | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jennifer L Gordon Pa | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
John Tiernan Md · Hartford Anesthesiology Associates | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Blaise Smyth | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Benjamin Kong Md | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Find all Licenses in zip 06108-7301 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Delaila Kim Nguyen | 51 Rene St, East Hartford, CT 06108 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
Roger G Troie | 36 Brook St, East Hartford, CT 06108 | Optician | 2020-06-01 ~ 2021-05-31 |
Terry A Osei | 18 Bunker Lane, East Hartford, CT 06108 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Lorena M Briceno | 16 Clark Street, East Hartford, CT 06108 | Real Estate Salesperson | ~ |
Augustine Appiah Mintah | 51 Brook Street, East Hartford, CT 06108 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Nicole Bennett | 96 Goodwin Street, East Hartford, CT 06108 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Patricia Siaca-rodriguez | 265 Tolland Street, East Hartford, CT 06108 | Community Companion Home | 2019-04-11 ~ 2020-04-30 |
Antonio J Matta | 19 Fellows Lane, East Hartford, CT 06108 | Architect | 2020-08-01 ~ 2021-07-31 |
Shante R Black | 15 Hopewell Street, East Hartford, CT 06108 | Behavior Analyst | ~ |
Connecticut Granite & Marble LLC | 161 Woodford Ave Lot B Unit. 48, Plainville, CT 06108 | Home Improvement Contractor | 2020-06-22 ~ 2020-11-30 |
Find all Licenses in zip 06108 |
City | EAST HARTFORD |
Zip Code | 06108 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + EAST HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hyun-joon Lee | 47 Oak St Ste 250, Stamford, CT 06905-5320 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Hyun Ju Jane Im | 282 Washington St, Hartford, CT 06106 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Chang Hyun Michael Choi | 7879 Silverlake Ln, Memphis, TN 38119 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Sung Hyun Lee · Sung Hyun Lee | 43-44 160 Street, 1st Floor, Flushing, NY 11358 | Hairdresser/cosmetician | 2006-01-11 ~ 2008-02-29 |
Hyun Hee Kim | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
Emily Hyun | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2018-06-11 ~ 2022-06-30 |
Clifford Hyun Min Shin | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Eric Sung Hyun Chu | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
Hyun Ju Nam | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
Soo Hyun Kae | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2019-06-28 ~ 2022-06-30 |
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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).