MARY CLARE HIGGINS-CHEN (Credential# 2008071) is licensed (Physician/surgeon) 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.
MARY CLARE HIGGINS-CHEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065025. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 92 Bishop St, New Haven, CT 06511-5624. The current status is active.
| Licensee Name | MARY CLARE HIGGINS-CHEN |
| Credential ID | 2008071 |
| Credential Number | 1.065025 |
| Credential Type | Physician/Surgeon |
| Business Address |
92 Bishop St New Haven CT 06511-5624 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-03-13 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1427649 | CSP.0065677 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-05-30 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1491749 | 1.059484-RES | Resident Physician | 2017-06-12 | 2019-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 92 Bishop St |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-5624 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Benjamin M Sherman Md | 92 Bishop St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Etchell C Cuaycong | 123 York St Apt 9l, New Haven, CT 06511-5624 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Amir M Mohareb | 123 York St Apt 8k, New Haven, CT 06511-5624 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Natalia Medvedeva | 123 York St Apt 9j, New Haven, CT 06511-5624 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Yukiko Kunitomo | 123 York St Apt 10d, New Haven, CT 06511-5624 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leon Rafailov | 123 York St Apt 8l, New Haven, CT 06511-5624 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Lewis D Hahn | 123 York St Apt 7g, New Haven, CT 06511-5624 | Controlled Substance Registration for Practitioner | 2013-07-02 ~ 2015-02-28 |
| Kyle Dominic Pires | 123 York St Apt 9j, New Haven, CT 06511-5624 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kartik Sehgal | 123 York St Apt 10d, New Haven, CT 06511-5624 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Elizabeth A Arena | 123 York St Apt 10d, New Haven, CT 06511-5624 | Controlled Substance Registration for Practitioner | 2011-03-18 ~ 2013-02-28 |
| 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 | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chen Chen | 20 Martin Rd, Weston, CT 06883 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Tzong-yang Albert Higgins-chen | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2017-06-12 ~ 2021-06-30 |
| Clare A Flannery | 333 Cedar St, New Haven, CT 06520-8063 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Everton G. Clare | 146 Beach 59th St Apt 303, Arverne, NY 11692-1818 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Clare E Manzi | 165 Old Mill Road, Middletown, CT 06457 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Christina Clare Lopez | 282 Washington St, Hartford, CT 06106 | Physician/surgeon | 2019-09-11 ~ 2020-05-31 |
| Harold W Higgins II | CT | Physician/surgeon | ~ |
| Qun Lin Md | 495 Higgins Rd, Cheshire, CT 06410 | Physician/surgeon | 2007-01-29 ~ 2008-03-31 |
| Jason C. Chen | 35 River Rd, Cos Cob, CT 06807-2759 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| Laura Chen | 789 Howard Ave, New Haven, CT 06519-1304 | Physician/surgeon | ~ |
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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).