KEN YANAGISAWA (Credential# 550455) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
KEN YANAGISAWA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032855. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593. The current status is active.
| Licensee Name | KEN YANAGISAWA |
| Credential ID | 550455 |
| Credential Number | 1.032855 |
| Credential Type | Physician/Surgeon |
| Business Address |
1 Long Wharf Dr Ste 302 New Haven CT 06511-5593 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-03-26 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 162136 | CSP.0020854 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1 LONG WHARF DR STE 302 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-5593 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John M Willett | 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Howard Boey | 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Maria Byrne | 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Tiffany Tsie-yiu Chen | 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jeffrey Paul Cranford | 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593 | Controlled Substance Registration for Practitioner | 2019-03-12 ~ 2021-02-28 |
| Paul L Fortgang | 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Samantha Almeida | 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ronald H Hirokawa | 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| M B Shimelman Md | 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mark A D'agostino | 1 Long Wharf Dr Ste 302, New Haven, CT 06511-5593 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael J Robbins Do | 1 Long Wharf Dr Ste 212, New Haven, CT 06511-5593 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Dwight Ligham Md | 1 Long Wharf Dr Ste 212, New Haven, CT 06511-5593 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Marilou Oh | 1 Long Wharf Dr, New Haven, CT 06511-5593 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| 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 |
|---|---|---|---|
| Eiji Yanagisawa | 25 Hickory Rd, Woodbridge, CT 06525-1437 | Physician/surgeon | 2013-06-01 ~ 2014-05-31 |
| Kay Yanagisawa | 248 Hemlock Hill Rd., Orange, CT 06477 | Audiologist | 2019-11-01 ~ 2020-10-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
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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).