TOVA MICHAL GARDIN (Credential# 1491687) is licensed (Resident Physician) 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.
TOVA MICHAL GARDIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059422-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 20 York St Tompkins 2, Room 226, New Haven, CT 06510. The current status is active.
| Licensee Name | TOVA MICHAL GARDIN |
| Credential ID | 1491687 |
| Credential Number | 1.059422-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
20 York St Tompkins 2, Room 226 New Haven CT 06510 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-12 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1431659 | CSP.0065924 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-06-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 20 YORK ST TOMPKINS 2, ROOM 226 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shin Rong Lee | 20 York St Tompkins 2, Room 226, New Haven, CT 06510 | Resident Physician | 2020-06-22 ~ 2021-06-30 |
| Colin Thomas Flood | 20 York St Tompkins 2, Room 226, New Haven, CT 06510-3202 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Andrew Tadeusz Burzynski | 20 York St Tompkins 2, Room 226, New Haven, CT 06510 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Justine Cormier | 20 York St Tompkins 2, Room 226, New Haven, CT 06510-3220 | Resident Physician | 2019-07-09 ~ 2021-06-30 |
| Devang Jitendra Joshi | 20 York St Tompkins 2, Room 226, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Henna Amber Shaikh | 20 York St Tompkins 2, Room 226, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 |
|---|---|---|---|
| Michal A Kidacki | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-24 ~ 2021-06-30 |
| Michal Senitko | 404 Bedford Pl, Brandon, MS 39047-4532 | Resident Physician | 2015-06-24 ~ 2021-06-30 |
| Tova Yosefa Kaufman | 122 Sterling Place, Highland, NY 12528 | Physician Assistant | ~ |
| Michal Ufniarz · Michal Construction | 49 Hurley Commons, Bristol, CT 06010-5220 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
| Michal Construction LLC | 49 Hurley Commons, Bristol, CT 06010-5220 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Michal Savcenko | 18 Horizon Pt, Frisco, TX 75034-6840 | Physician/surgeon | 2013-03-06 ~ 2014-01-31 |
| Michal Nowak | 174 Linden St Apt E3, New Haven, CT 06511-2463 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Michal Lementowski | 2 Eastgate Ave Ste 103, Monessen, PA 15062-1392 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
| Michal R Kaczor Md | 733 Broadway Apt 208, Albany, NY 12207-2345 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Michal Obrzut | 32-36 Harrison St, Johnson City, NY 13790-2181 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
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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).