TYLER UNDERRINER (Credential# 1492157) 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.
TYLER UNDERRINER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059892-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 260 Crown St Apt 2g, New Haven, CT 06511-6610. The current status is active.
| Licensee Name | TYLER UNDERRINER |
| Credential ID | 1492157 |
| Credential Number | 1.059892-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
260 Crown St Apt 2g New Haven CT 06511-6610 |
| 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 |
|---|---|---|---|---|---|
| 1439762 | CSP.0066432 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-08-08 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 260 CROWN ST APT 2G |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-6610 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erin Diana Bright | 260 Crown St Apt 2g, New Haven, CT 06511-6672 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bar | 254 Crown St # 260, New Haven, CT 06511-6610 | Brew Pub Liquor | 2020-02-21 ~ 2021-06-20 |
| Michael John Couturie | 278 Crown St Apt 1a, New Haven, CT 06511-6610 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tyler J Mckay | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Tyler Jeremiah Jones | 330 Cedar St # Bb310, New Haven, CT 06510-3218 | Resident Physician | 2019-08-01 ~ 2021-06-30 |
| Wade Tyler Chimerofsky | 451 Mill St, Batavia, IL 60510-9250 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
| Aaron W Tyler · A Tyler Ren & Const Inc | 1275 Cromwell Ave Unit B3, Rocky Hill, CT 06067 | Home Improvement Contractor | 1996-09-01 ~ 1997-11-30 |
| Kevin J Tyler · Tyler Construction | 14 Elm Street, Darien, CT 06820 | Home Improvement Contractor | 2000-12-04 ~ 2001-11-30 |
| Tyler Carpet Inc | 14 East Main St, North Canaan, CT 06018 | Home Improvement Contractor | 2004-12-01 ~ 2005-11-30 |
| Tyler Swain | Po Box 153, Unionville, CT 06085 | Home Improvement Contractor | ~ 1995-02-01 |
| James R Flink | 2 Tyler Ave., Branford, CT 06405 | Physician/surgeon | 1978-06-12 ~ 1983-07-31 |
| Tyler Jacob Hendricks | 298 5th Ave Fl 7, New York, NY 10001-4522 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
| Jeffrey T Tyler | 196 Jackson Ave, Stratford, CT 06497 | Physician/surgeon | 1981-11-02 ~ 1989-02-28 |
Please comment or provide details below to improve the information on TYLER UNDERRINER.
| 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).