JASON A CHIN (Credential# 1491588) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2018. The license status is INACTIVE.
JASON A CHIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059323-RES. The credential type is resident physician. The effective date is July 1, 2017. The expiration date is June 30, 2018. The business address is 109 Church Street #223, New Haven, CT 06510. The current status is inactive.
| Licensee Name | JASON A CHIN |
| Credential ID | 1491588 |
| Credential Number | 1.059323-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
109 Church Street #223 New Haven CT 06510 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2017-07-01 |
| Effective Date | 2017-07-01 |
| Expiration Date | 2018-06-30 |
| Refresh Date | 2018-07-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1076323 | CSP.0052583 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-07-05 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 109 CHURCH STREET #223 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laura Chin | 81 Orange St, New Haven, CT 06510 | Resident Physician | 2017-07-01 ~ 2018-06-30 |
| Jeremy Wong Chin | 25 Frederick St Apt 203, Hartford, CT 06105-3236 | Resident Physician | 2015-07-01 ~ 2019-06-30 |
| Megan Louise Chin | 400 Blake St Apt 4207, New Haven, CT 06515-4419 | Resident Physician | 2020-06-08 ~ 2021-06-30 |
| Jason Cuomo | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jason Fisher | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Jason Chang | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
| Eric Jason Berkowitz | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-06-27 ~ 2019-06-30 |
| Jason Mark Beckta | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jason S Puckett | 20 York St Tompkins 209, New Haven, CT 06510-3220 | Resident Physician | 2014-06-27 ~ 2021-06-30 |
| Jason Michael Tanner | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
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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).