DERVIN CUNNINGHAM (Credential# 2042438) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 11, 2020. The license expiration date date is June 30, 2024. The license status is ACTIVE.
DERVIN CUNNINGHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065403-RES. The credential type is resident physician. The effective date is June 11, 2020. The expiration date is June 30, 2024. The business address is 300 George St Ste 901, New Haven, CT 06511-6662. The current status is active.
| Licensee Name | DERVIN CUNNINGHAM |
| Credential ID | 2042438 |
| Credential Number | 1.065403-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
300 George St Ste 901 New Haven CT 06511-6662 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-11 |
| Effective Date | 2020-06-11 |
| Expiration Date | 2024-06-30 |
| Refresh Date | 2020-05-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2043793 | CSP.0073966 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-05-11 | 2020-05-11 - 2021-02-28 | ACTIVE |
| Street Address | 300 GEORGE ST STE 901 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-6662 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah Abdallah | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-15 ~ 2025-06-30 |
| Samuel Sondalle | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-15 ~ 2025-06-30 |
| Sandhira Wijayaratne | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Ashley Moreno | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Eliza Decroce-movson | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Patricia Ekwueme | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Bradford Martins | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Eli Neustadter | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Stephanie Wu | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Barbara Trejo Ortega | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rachel L Wurmser | 300 George St Ste 901 Rm 21, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ebony Dix | 1450 Chapel Street, New Haven, CT 06511-6662 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Luming Li | 184 Liberty St, New Haven, CT 06511-6662 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ish P Bhalla | 300 George St Ste 901 Rm 21, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| 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 | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas Ov Cunningham | 50 Grove Street Apt 4, Manchester, CT 06042 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Alyson S Cunningham | 150 Beacon Hill Dr, West Hartford, CT 06117-1006 | Resident Physician | 2017-07-01 ~ 2022-06-30 |
| Global Wine Co Michel Dervin Champagne | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2009-09-16 ~ 2012-09-15 |
| Michael Dervin Champagne Brut Sparkling | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 1999-10-19 ~ 2002-10-19 |
| Sean W Cunningham · L&s Cunningham | Po Box 270829, W Hartford, CT 06127 | Home Improvement Contractor | ~ 1995-08-01 |
| Cunningham & Co LLC | 35 Autumn Lane, New Canaan, CT 06840 | New Home Construction Contractor | 2011-10-01 ~ 2013-09-30 |
| Brian T Cunningham · Cunningham Builders | 12 Crosshill Rd, W Hartford, CT 06107 | Home Improvement Contractor | 2020-01-23 ~ 2020-11-30 |
| Bruce Cunningham Inc | 6 Chestnut Ridge Rd, Poughkeepsie, NY 12603 | Home Improvement Contractor | 2010-12-01 ~ 2011-11-30 |
| Linwood W Cunningham · Linwood Cunningham Carpentry | 42 Clift La, Mystic, CT 06355 | Home Improvement Contractor | 2010-12-01 ~ 2011-11-30 |
| James E Cunningham · J Cunningham & Son Contractors | 53 Worth St, Bridgeport, CT 06604-3032 | Electrical Unlimited Journeyperson | 2013-03-26 ~ 2013-09-30 |
Please comment or provide details below to improve the information on DERVIN CUNNINGHAM.
| 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).