CHUNG K SHIN (Credential# 555310) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
CHUNG K SHIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037720. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 91 East Ave, Norwalk, CT 06851. The current status is active.
| Licensee Name | CHUNG K SHIN |
| Credential ID | 555310 |
| Credential Number | 1.037720 |
| Credential Type | Physician/Surgeon |
| Business Address |
91 East Ave Norwalk CT 06851 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-04-30 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 238641 | CSP.0029878 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-07-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 215235 | CSP.0028374 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2000-03-03 - 2001-02-28 | INACTIVE |
| Street Address | 91 EAST AVE |
| City | NORWALK |
| State | CT |
| Zip Code | 06851 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rick Rosen Md | 91 East Ave, Norwalk, CT 06851 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Elizabeth Osborn | 91 East Ave, Norwalk, CT 06851-5020 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Rishon H Stember Md | 91 East Ave, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Chaitali S Pimputkar | 91 East Ave, Norwalk, CT 06851-5020 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Louis A Diberardino | 5 Merrill Rd, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| William N Andriopoulos | 21 Maurice St, Norwalk, CT 06851 | Architect | 2020-08-01 ~ 2021-07-31 |
| Donald D Overton | 5 Honey Hill Road, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| A & J Shoe Corporation · Hawley Lane Shoes | 499 Westport Ave, Norwalk, CT 06851 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Michael T Coppolo | 21 Morgan Avenue, Norwalk, CT 06851 | Real Estate Salesperson | ~ |
| Catherine Mills | 27c Aiken Street, Norwalk, CT 06851 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Theresa B Ross-whitaker · Ross | 7 Disesa Court, Norwalk, CT 06851 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Michelle P Vincoli | 136 Newtown Ave, Norwalk, CT 06851 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Dunkin Donuts | 195 Main Street, Norwalk, CT 06851 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jungsoo Kim | 430 Main Ave R8, Norwalk, CT 06851 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-23 ~ 2022-05-31 |
| Find all Licenses in zip 06851 | |||
| City | NORWALK |
| Zip Code | 06851 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shin Su Kim | Hongo, Tokyo, 1130033 | Physician/surgeon | 2017-10-01 ~ 2018-09-30 |
| Yeo Yang Shin | C/o Nvra, Southbury, CT 06488 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Myung S Shin Md | 227 Church Street Apt. 8g, New Haven, CT 06510 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
| Frank Shin | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Hyo S Shin | 6110 Anchor Lane, Rockledge, FL 32955 | Physician/surgeon | 1995-06-07 ~ 1996-05-31 |
| David H Shin | 6 Harbour Close, New Haven, CT 06519 | Physician/surgeon | ~ 1997-05-31 |
| Wei - Shin Lai Md | High Ridge Family Practice, Stamford, CT 06905 | Physician/surgeon | 2007-02-20 ~ 2008-03-31 |
| Gyeyee Shin Md | 4699 Main Street, Bridgeport, CT 06606 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Paul C Shin | 26955 Schubert Drive, Westlake, OH 44145 | Physician/surgeon | ~ 1995-08-31 |
| James Chi-shin Liu Md | Bowling Green Station, New York, NY 10274-1231 | Physician/surgeon | 1999-11-02 ~ 2000-10-31 |
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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).