CHISOM AMANDA IKEJI (Credential# 1658031) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2021. The license status is ACTIVE.
CHISOM AMANDA IKEJI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063387-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2021. The business address is 20 York Road, New Haven, CT 06510. The current status is active.
| Licensee Name | CHISOM AMANDA IKEJI |
| Credential ID | 1658031 |
| Credential Number | 1.063387-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
20 York Road New Haven CT 06510 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1662500 | 1.064646 | Physician/Surgeon | 2019-12-06 | 2020-05-01 - 2021-04-30 | ACTIVE |
| 1662618 | CSP.0071213 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-05-28 | 2019-05-28 - 2021-02-28 | ACTIVE |
| Street Address | 20 York Road |
| 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 |
|---|---|---|---|
| Amanda Maame Esi Ocran | 925 Mix Ave Apt T4, Hamden, CT 06514-5117 | Resident Physician | 2020-07-05 ~ 2021-06-30 |
| Amanda J Neider | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2020-06-28 ~ 2021-06-27 |
| Amanda Ferraro | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2020-06-22 ~ 2024-06-30 |
| Amanda Chiapa | 20 York St, New Haven, CT 06510 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
| Amanda K Cavanaugh | 331 Ridgewood Rd, West Hartford, CT 06107-3537 | Resident Physician | 2015-07-01 ~ 2022-06-30 |
| Amanda Quijano | 16 Turkey Hill Rd, Durham, CT 06422-1031 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Amanda Lynn Hernandez | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Amanda S Tissot | 262 Mills Cross Rd, Staatsburg, NY 12580-5401 | Resident Physician | 2017-06-22 ~ 2021-06-30 |
| Amanda Ellis Van Scoyoc | 20 York St, New Haven, CT 06510 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
| Amanda Lindo | 40 Prospect Ave Bldg 3j, Norwalk, CT 06850-3737 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
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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).