MICHAEL C KORN PA (Credential# 743255) is licensed (Physician Assistant) 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.
MICHAEL C KORN PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001506. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 670 Whitney Ave, New Haven, CT 06511-1312. The current status is active.
| Licensee Name | MICHAEL C KORN PA |
| Credential ID | 743255 |
| Credential Number | 23.001506 |
| Credential Type | Physician Assistant |
| Business Address |
670 Whitney Ave New Haven CT 06511-1312 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-08-25 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 379362 | CSP.0035674 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-09-27 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 670 WHITNEY AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-1312 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christina C Price | 650 Whitney Ave, New Haven, CT 06511-1312 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| 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 | Physician Assistant |
| License Type + County | Physician Assistant + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian Korn Pa | 606 Foster St, South Windsor, CT 06074-2958 | Physician Assistant | 2018-08-01 ~ 2019-07-31 |
| Keifer's Kettle Korn LLC · Raina Spaziani | 104 Beach Pond Rd Unit 4, Voluntown, CT 06384-1853 | Food Manufacturing Establishment | 2020-07-01 ~ 2021-06-30 |
| Robert S Korn | 11 Patri Ct, Dix Hills, NY 11706 | Physician/surgeon | 2000-06-05 ~ 2001-08-31 |
| Steven A Korn Md | 108 Leigus Rd, Yalesville, CT 06492-2518 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Lisa Korn | Yale New Haven Hospital, Tompkins 226, CT CT | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Joseph H Korn | 1910 Asylum Ave, West Hartford, CT 06117 | Physician/surgeon | 1992-12-22 ~ 1994-01-31 |
| Pta Congress of Brester Korn | 126 Tuttle Road, Durham, CT 06422 | Public Charity-exempt From Financial Requirements | ~ |
| Good Ole Boys Kettle Korn | 122 Prospect Hill Rd, East Windsor, CT 06088-9668 | Food Manufacturing Establishment | 2014-07-09 ~ 2015-06-30 |
| Michael Moi | 85 Riverside Ave Apt G2, Stamford, CT 06905-4421 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Michael W Callahan | 98 Bay Road, Hadley, MA 01035-9688 | Physician Assistant | 2005-04-11 ~ 2006-05-31 |
Please comment or provide details below to improve the information on MICHAEL C KORN PA.
| 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).