YOO JIN SHIN (Credential# 1355764) 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.
YOO JIN SHIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062818. 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 90 Fairfield Ave, Stamford, CT 06902. The current status is active.
| Licensee Name | YOO JIN SHIN |
| Credential ID | 1355764 |
| Credential Number | CSP.0062818 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
90 Fairfield Ave Stamford CT 06902 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-05-24 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1262919 | 2.011353 | Dentist | 2015-02-24 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | 90 Fairfield Ave |
| City | Stamford |
| State | CT |
| Zip Code | 06902 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sunny Daze Summer Camp | 90 Fairfield Ave, Stamford, CT 06902-5021 | Youth Camp | 2020-04-01 ~ 2021-03-31 |
| Americares Free Clinic of Stamford | 90 Fairfield Ave, Stamford, CT 06902-5021 | Outpatient Clinic | 2013-12-19 ~ 2017-12-31 |
| Bridgeport Community Health Center Inc. · Stamford Community Health Center | 90 Fairfield Ave, Stamford, CT 06902-5021 | Outpatient Clinic | 2001-03-23 ~ 2002-12-31 |
| Yerwood Education Summer Camp | 90 Fairfield Ave, Stamford, CT 06902-5021 | Youth Camp | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | Stamford |
| Zip Code | 06902 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Stamford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Byol Shin Md | Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| 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 |
| Dong-jin Shin | 35 W Broad St Unit 326, Stamford, CT 06902-3777 | Controlled Substance Registration for Practitioner | 2015-08-07 ~ 2017-02-28 |
| Young Shin Kim Md | 401 Parnassus Ave, Box 0984, San Francisco, CA 94143 | Controlled Substance Registration for Practitioner | 2015-12-10 ~ 2017-02-28 |
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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).