SHIN R LIN MD
Controlled Substance Registration for Practitioner


Address: Vachs Department of Geriatrics and Extended Care, West Haven, CT 06516

SHIN R LIN MD (Credential# 1174360) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

SHIN R LIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055394. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is Vachs Department of Geriatrics and Extended Care, West Haven, CT 06516. The current status is active.

Basic Information

Licensee Name SHIN R LIN MD
Credential ID 1174360
Credential Number CSP.0055394
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Vachs Department of Geriatrics and Extended Care
West Haven
CT 06516
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-07-15
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-11

Other licenses

ID Credential Code Credential Type Issue Term Status
483108 CSP.0042625 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-09-24 2019-03-01 - 2021-02-28 ACTIVE
563405 1.045823 Physician/Surgeon 2007-08-29 2019-09-01 - 2020-08-31 ACTIVE

Office Location

Street Address VACHS Department of Geriatrics and Extended Care
City West Haven
State CT
Zip Code 06516

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Monica M Skakacz 19 Cowpen Rd, West Haven, CT 06516 Registered Nurse 2020-05-01 ~ 2021-04-30
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Dyaija Soriano 29 Ridge Court East, West Haven, CT 06516 Esthetician 2020-06-26 ~ 2022-05-31
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Competitor

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City West Haven
Zip Code 06516
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + West Haven

Similar businesses

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Victor Shin Md 106 Ashling Dr, Lagrange, GA 30240 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
Joseph Shin Po Box 208041, New Haven, CT 06520-8041 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28
Hyun Won Shin Dds 422 Main St Fl 1, Fort Lee, NJ 07024-2861 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Min Chul Shin 152 Temple St Apt 108, New Haven, CT 06510-2607 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
David Shin Md 800 Howard Ave #ypb-316, New Haven, CT 06520 Controlled Substance Registration for Practitioner 2003-01-03 ~ 2004-02-28
Joongho Shin 30 Stevens St Ste D, Norwalk, CT 06850-3859 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Esther H Shin 14 Pine Dr, Park Ridge, NJ 07656-1840 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
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Dataset Information

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).

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