JUSTIN MICHAEL PACOR (Credential# 1516771) 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.
JUSTIN MICHAEL PACOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061012-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 123 York St, New Haven, CT 06511-5655. The current status is active.
| Licensee Name | JUSTIN MICHAEL PACOR |
| Credential ID | 1516771 |
| Credential Number | 1.061012-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
123 York St New Haven CT 06511-5655 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-11 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1514442 | CSP.0068107 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-05-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 123 YORK ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-5655 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anthony T Dioguardi | 123 York St, New Haven, CT 06511 | Dentist | 2020-08-01 ~ 2021-07-31 |
| Marina B Palma Lima | 123 York St, New Haven, CT 06511-5655 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Dean G Cloutier Dds | 123 York St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Carl Malm | 123 York St, New Haven, CT 06511-5655 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Aaron D Bennett | 123 York St, New Haven, CT 06511-5655 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anthony Abou Karam | 123 York St, New Haven, CT 06511 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Jasmine Nicole Verret | 123 York St, New Haven, CT 06511 | Registered Nurse | 2018-12-01 ~ 2019-11-30 |
| Daniella O Teape | 123 York St, New Haven, CT 06511-5655 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Jack D Berns | 123 York St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Christine M Shaver | 123 York St, New Haven, CT 06511-5655 | Controlled Substance Registration for Practitioner | 2013-07-03 ~ 2015-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ivelina N. Dean Dmd | 123 York Street 4l, New Haven, CT 06511-5655 | Dentist | 2018-09-01 ~ 2019-08-31 |
| Jon M Mandeville | 123 York St Apt 7 K, New Haven, CT 06511-5655 | Massage Therapist | 2019-06-01 ~ 2021-05-31 |
| 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 |
|---|---|---|---|
| Justin Young | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Justin R Marcus | 360 State St Apt 716, New Haven, CT 06510-3603 | Resident Physician | 2014-07-07 ~ 2020-06-30 |
| Justin Kuether | 139 Treadwell St, Hamden, CT 06517-2342 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Justin Van Minh Nguyen | 100 Temple St Ph 17, New Haven, CT 06510-2711 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Adam Justin Parker | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2019-06-24 ~ 2021-06-30 |
| Justin Mark Le Blanc | 62 Toledo Ave, Warwick, RI 02888-4133 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Justin Keele Banerdt | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Justin Alexander Charles | C/o 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Justin Eglseder | 1351 Washington Blvd, Stamford, CT 06902-2419 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Justin Swank | 263 Farmington Ave, Farmington, CT 06030-0001 | 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).