TIEN EN EDISON LEE (Credential# 1659167) 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, 2023. The license status is ACTIVE.
TIEN EN EDISON LEE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063475-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2023. The business address is 80 Seymour St, Hartford, CT 06102-5037. The current status is active.
| Licensee Name | TIEN EN EDISON LEE |
| Credential ID | 1659167 |
| Credential Number | 1.063475-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
80 Seymour St Hartford CT 06102-5037 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2023-06-30 |
| Refresh Date | 2019-05-21 |
| Street Address | 80 Seymour St |
| City | Hartford |
| State | CT |
| Zip Code | 06102-5037 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pragya Kalla | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Luis Ruisanchez-gonzalez | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Nicole G Baarck | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Ignatius Ang | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Matteen Hakim | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Padma Priya Kondur Puttagunta | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Krishna Patel | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Michael Ghassemlou | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Ashley Sanchez Ramos | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Madeline Jacobs | 80 Seymour St, Hartford, CT 06102-8000 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danielle Brainard | 80 Seymour St Po Box 5037, Hartford, CT 06102-5037 | Resident Dentist | 2020-07-01 ~ 2021-06-30 |
| Andrew Ding | Po Box 5037, Hartford, CT 06102-5037 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Lilly Rizzo | 80 Seymour St, Po Box 5037, Hartford, CT 06102-5037 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| David I Silverman Md | Hartford Hospital, Hartford, CT 06102-5037 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Erica A Schuyler Md | Hartford Hospital/neurology, Hartford, CT 06102-5037 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Heather R Leonard | Hartford Hospital Emergency Department, Hartford, CT 06102-5037 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Timothy S Boyd Md | Hartford Hospital/gray Cancer Ctr, Hartford, CT 06102-5037 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hartford Hospital | Dept of Food and Nutrition Services, Hartford, CT 06102-5037 | Vending Machine Operator | 2012-07-01 ~ 2013-06-30 |
| Orlando C Kirton Md | Hartford Hospital-dept of Surgery, Hartford, CT 06102-5037 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Charles Ingardia Md | Hartford Hospital/prenatal Testing, Hartford, CT 06102-5037 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
| Find all Licenses in zip 06102-5037 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sivabalaji Kaliamurthy | 80 Seymour Street, Hartford, CT 06102 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Erica S Hammer | 85 Jefferson Ave Ste 625, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joseph A Digiuseppe | Dept of Pathology, Hartford, CT 06102 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Joseph V Portereiko Do | Hartford Hospital : Department of Surgery, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Vasanthy Thevarajah | Hardfort Hospital, Hartford, CT 06102 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Elaine Manson | 135 Dapex, Hartford, CT 06102 | Medication Administration Certification | ~ |
| Valridine Durrant | 2718 Main St, Hartford, CT 06102 | Medication Administration Certification | 2020-03-08 ~ 2022-03-07 |
| Jennifer Susan Thran | 80 Seymore St, Hartford, CT 06102 | Registered Nurse | ~ |
| Monique M Vaughan | 401 Granby Street, Hartford, CT 06102 | Real Estate Salesperson | ~ |
| Bruce M Kaplan Md | Hartford Hospital Gray Cancer Center, Hartford, CT 06102 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06102 | |||
| City | Hartford |
| Zip Code | 06102 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tien Li Hsiao | 24 Hospital Ave, Danbury, CT 06810 | Resident Physician | 2016-06-20 ~ 2019-08-27 |
| Thien Tien | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
| Tien-chan Hsieh | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2019-06-20 ~ 2022-06-30 |
| Mohammed A Hussain | 160 Evergreen Rd Apt 11b, Edison, NJ 08837-2476 | Resident Physician | 2016-07-01 ~ 2018-06-30 |
| Tien Trien Vietnam Co Ltd | Ong Dong Quarter, Tan Hiep Ward, Tan Uyen Binh Duong, VN 820000 | Manufacturer of Bedding & Upholstered Furniture | 2020-03-30 ~ 2021-04-30 |
| Tien Dat Furniture Corp | Phu Tai Industrial Zone, Binh Dinh Province, 59 | Manufacturer of Bedding & Upholstered Furniture | 2016-05-01 ~ 2017-04-30 |
| Edison Road | 569 Edison Road, Trumbull, CT 06611 | Community Living Arrangement | 2018-10-01 ~ 2020-09-30 |
| Minh Tien Import Export Production & Trade Jsc | No 922 Group 3, Binh Chanh Dong Khanh Binh, Tan Uyen Binh Duong, VN 75000 | Manufacturer of Bedding & Upholstered Furniture | 2020-03-30 ~ 2021-04-30 |
| Shannon Cutts | 7 Edison Avenue, Edison, RI 02906 | Veterinarian | 2004-01-02 ~ 2004-03-31 |
| Sneha H Brahmbhatt | 209 Edison Glen Ter, Edison, NJ 08837-2922 | Dentist | 2012-07-25 ~ 2012-11-30 |
Please comment or provide details below to improve the information on TIEN EN EDISON LEE.
| 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).