KEITH RANDALL YOUNG JR (Credential# 1524183) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 5, 1980. The license expiration date date is April 30, 1983. The license status is INACTIVE.
KEITH RANDALL YOUNG JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.021921. The credential type is physician/surgeon. The effective date is May 5, 1980. The expiration date is April 30, 1983. The business address is 789 Howard Avenue, New Haven, CT 06504. The current status is inactive.
| Licensee Name | KEITH RANDALL YOUNG JR |
| Credential ID | 1524183 |
| Credential Number | 1.021921 |
| Credential Type | Physician/Surgeon |
| Business Address |
789 Howard Avenue New Haven CT 06504 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1980-05-05 |
| Effective Date | 1980-05-05 |
| Expiration Date | 1983-04-30 |
| Refresh Date | 2018-06-18 |
| Street Address | 789 HOWARD AVENUE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06504 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ben A Lin | 789 Howard Avenue, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Inginia Genao Md | 789 Howard Avenue, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael E Chen | 789 Howard Avenue, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Andrew P Lange | 789 Howard Avenue, New Haven, CT 06510 | Physician/surgeon | 2018-12-01 ~ 2019-11-30 |
| Allison Catherine Posta | 789 Howard Avenue, New Haven, CT 06510 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Priti Mehla | 789 Howard Avenue, New Haven, CT 06520 | Resident Physician | 2016-06-27 ~ 2019-06-30 |
| Arnold J Friedman | 789 Howard Avenue, New Haven, CT 06504 | Physician/surgeon | ~ 1980-12-31 |
| Wayne B Glazier | 789 Howard Avenue, New Haven, CT 06515 | Physician/surgeon | 1976-04-02 ~ 1980-01-18 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph A Giunta | 141 North Main St, Branford, CT 06504 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kapauner Lewis | Yale New Haven Children's Hospital, New Haven, CT 06504 | Controlled Substance Registration for Practitioner | 2020-04-03 ~ 2021-02-28 |
| Lindsay Rose Perrone | 48 Soundview Heights, Branford, CT 06504 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Randolph F Pareja | 104 Fresh Meadow Road, Branford, CT 06504 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Rosemarie L Fisher Md | Yale New Haven Hosp, New Haven, CT 06504 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Valda R Smith | Po Box 1078, New Haven, CT 06504 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Amanda Jo Posila | 508 Fountain Street Apt C 4, New Haven, CT 06504 | Notary Public Appointment | 2012-06-22 ~ 2017-06-30 |
| Paula C Zimbrean Md | 20 York St Rm F611, New Haven, CT 06504 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Yanyun Wu | 20 York St, Ps 329c, New Haven, CT 06504 | Physician/surgeon | 2017-04-01 ~ 2018-03-31 |
| Harry A Coe | 1 Brewery Square 327, New Haven, CT 06504 | Real Estate Salesperson | 2006-06-01 ~ 2007-05-31 |
| Find all Licenses in zip 06504 | |||
| City | NEW HAVEN |
| Zip Code | 06504 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Randall Keith Pearson | 200 First Street Sw, Rochester, MN 55905 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Keith C Boldon Md | Keith Boldon Md, Cheshire, CT 06410 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Randall D Grant | 30 Shelburne Rd, Stamford, CT 06902-3628 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Randall B Kaump | 50 Hunters Way, Hamden, CT 06514 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Randall C Lewis | 40 Springwood Dr, Monroe Township, NJ 08831-3270 | Physician/surgeon | 2012-01-23 ~ 2012-04-30 |
| Randall H. Safarik | 921 Oak Park Blvd. #203, Pismo Beach, CA 93449 | Physician/surgeon | ~ |
| Jeffrey Randall Murray | 28 Harbor Heights Rd, Scituate, MA 02066-1320 | Physician/surgeon | 1987-03-13 ~ 1988-05-31 |
| Donna D Randall | 1074 Lombard Avenue, St. Paul, MN 55105 | Physician/surgeon | 2004-04-19 ~ 2005-04-30 |
| Randall R Dwenger Md | 30 Cedar Crest Road, Salisbury, CT 06068 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Randall Bremner | 2417 Tamarack Drive Road, Decorah, IA 52101 | Physician/surgeon | 2020-01-07 ~ 2020-10-31 |
Please comment or provide details below to improve the information on KEITH RANDALL YOUNG JR.
| 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).