KEVIN YIMING YAN (Credential# 2052346) 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, 2021. The license status is ACTIVE.
KEVIN YIMING YAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.066102-RES. The credential type is resident physician. The effective date is June 11, 2020. The expiration date is June 30, 2021. The business address is 240 Congress Ave Apt 316, New Haven, CT 06519-1403. The current status is active.
| Licensee Name | KEVIN YIMING YAN |
| Credential ID | 2052346 |
| Credential Number | 1.066102-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
240 Congress Ave Apt 316 New Haven CT 06519-1403 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-11 |
| Effective Date | 2020-06-11 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2049644 | CSP.0074169 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-16 | 2020-06-16 - 2021-02-28 | ACTIVE |
| Street Address | 240 CONGRESS AVE APT 316 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1403 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gabriel Heymann | 240 Congress Ave Apt 603, New Haven, CT 06519-1403 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Nischay Kiran Rege | 240 Congress Ave Unit 307, New Haven, CT 06519-1403 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Karen Lynn Zhao | 240 Congress Ave Unit 603, New Haven, CT 06519-1403 | Resident Physician | 2020-06-09 ~ 2021-06-30 |
| Vincent Pieribone · John B Pierce Laboratory (the) | 290 Congress Ave Rm 213, New Haven, CT 06519-1403 | Controlled Substance Laboratory | 2020-02-01 ~ 2021-01-31 |
| Jesse L Albano | 240 Congress Ave Unit 210, New Haven, CT 06519-1403 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Justus V Verhagen · The John B Pierce Laboratory | 290 Congress Ave, New Haven, CT 06519-1403 | Controlled Substance Laboratory | 2020-02-01 ~ 2021-01-31 |
| John Macmicking · Yale University School of Medicine | 296 Congress Ave # Bcmm-349, New Haven, CT 06519-1403 | Controlled Substance Laboratory | 2017-02-01 ~ 2018-01-31 |
| Guillaume De Lartigue · John B. Pierce Laboratory | 290 Congress Ave, New Haven, CT 06519-1403 | Controlled Substance Laboratory | 2018-09-18 ~ 2019-01-31 |
| Ivan De Araujo · The John B Pierce Laboratory | 290 Congress Ave, New Haven, CT 06519-1403 | Controlled Substance Laboratory | 2018-09-18 ~ 2019-01-31 |
| Mark Laubach · John B Pierce Laboratory Inc (the) | 290 Congress Ave, New Haven, CT 06519-1403 | Controlled Substance Laboratory | 2014-02-01 ~ 2015-01-31 |
| Find all Licenses in zip 06519-1403 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yiming Luo | 515 W 59th Street, New York, NY 10019 | Physician/surgeon | 2019-06-12 ~ 2020-04-30 |
| Kevin A Kasner | 234 Kingswood Dr, Avon, CT 06001-3182 | Resident Physician | 2017-06-28 ~ 2021-06-30 |
| Kevin R. Coleman | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2013-07-01 ~ 2020-06-30 |
| Kevin M Wheelock | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Kevin J Reid | 276 Towpath Ln, Cheshire, CT 06410-3314 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Kevin T Pelland Jr. | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2019-07-10 ~ 2021-06-30 |
| Kevin J Barnum | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Kevin Clark | 44 Republic Dr, Bloomfield, CT 06002-5458 | Resident Physician | 2020-06-28 ~ 2021-06-30 |
| Kevin Wilson | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Kevin M Duignan | 64 Crystal Ln Apt D, Storrs Mansfield, CT 06268-1172 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
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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).