YIN XU (Credential# 1082124) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2018. The license expiration date date is September 30, 2019. The license status is INACTIVE.
YIN XU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051349. The credential type is physician/surgeon. The effective date is October 1, 2018. The expiration date is September 30, 2019. The business address is 1490 Cascadia Ln, Encinitas, CA 92024-2386. The current status is inactive.
| Licensee Name | YIN XU |
| Credential ID | 1082124 |
| Credential Number | 1.051349 |
| Credential Type | Physician/Surgeon |
| Business Address |
1490 Cascadia Ln Encinitas CA 92024-2386 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-09-04 |
| Effective Date | 2018-10-01 |
| Expiration Date | 2019-09-30 |
| Refresh Date | 2020-01-03 |
| Street Address | 1490 CASCADIA LN |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-2386 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Blue Star Families Inc | 515 Verbena Ct, Encinitas, CA 92024 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| David M Tartaglino | 1190 Encinitas Blvd, Encinitas, CA 92024 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Nicole S Peet | 185 Saxony Road Apt 303, Encinitas, CA 92024 | Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| Phi L Tran Do | 426 Whitewood Pl, Encinitas, CA 92024 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Deborah A Carson | 339 Hestia Way, Encinitas, CA 92024 | Registered Nurse | 2015-09-01 ~ 2016-08-31 |
| Maura Sheehan | 155 Rosebay Drive #20, Encinitas, CA 92024 | Registered Nurse | 2015-06-01 ~ 2016-05-31 |
| Innocent Justice Foundation | 132 N. El Camino Real #483, Encinitas, CA 92024 | Public Charity | 2010-06-01 ~ 2011-05-31 |
| Kathleen M Hubon | 1065 Guadalajara, Encinitas, CA 92024 | Registered Nurse | 2013-06-01 ~ 2014-05-31 |
| Paula R Looby | 308 Harrisburg Dr, Encinitas, CA 92024 | Registered Nurse | 2013-02-01 ~ 2014-01-31 |
| Matthew Glazner | 1414 Flair Encinitas Dr, Encinitas, CA 92024 | Certified Public Accountant Certificate | ~ |
| Find all Licenses in zip 92024 | |||
| City | ENCINITAS |
| Zip Code | 92024 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + ENCINITAS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
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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).