KIMBERLY A DAVIS MD (Credential# 561724) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
KIMBERLY A DAVIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044142. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 330 Cedar St # Bb310, New Haven, CT 06510-3218. The current status is active.
| Licensee Name | KIMBERLY A DAVIS MD |
| Credential ID | 561724 |
| Credential Number | 1.044142 |
| Credential Type | Physician/Surgeon |
| Business Address |
330 Cedar St # Bb310 New Haven CT 06510-3218 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-03-10 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 433037 | CSP.0038956 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-03-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 330 CEDAR ST # BB310 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3218 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tyler Jeremiah Jones | 330 Cedar St # Bb310, New Haven, CT 06510-3218 | Resident Physician | 2019-08-01 ~ 2021-06-30 |
| Felix Y Lui Md | 330 Cedar St # Bb310, New Haven, CT 06510-3218 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Lawrence L Sann | 330 Cedar St # Bb310, New Haven, CT 06510-3218 | Resident Physician | 2017-08-01 ~ 2019-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie Eisenbarth | 330 Cedar St # Cb407, New Haven, CT 06510-3218 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Tamas Horvath | Yale University, Section of Cmed, Bml 330, New Haven, CT 06510-3218 | Medical Marijuana Research Program Employee | 2019-08-30 ~ 2020-08-29 |
| Matija Sestan-pesa | Yale University, Cmed, Bml 316, New Haven, CT 06510-3218 | Medical Marijuana Research Program Employee | 2019-08-31 ~ 2020-08-30 |
| Wendy Leung | 310 Cedar St Fmb 320, New Haven, CT 06510-3218 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Susana Vargas Pinto | 330 Cedar St, New Haven, CT 06510-3218 | Resident Physician | 2019-08-01 ~ 2021-06-30 |
| Neeta J Erinjeri | 330 Cedar St Fmb 107, New Haven, CT 06510-3218 | Resident Physician | 2017-08-01 ~ 2021-06-30 |
| Umer M Darr | 330 Cedar St # Bb204, New Haven, CT 06510-3218 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| John Morton | 310 Cedar St Bml 229, New Haven, CT 06510-3218 | Controlled Substance Registration for Practitioner | 2019-06-10 ~ 2021-02-28 |
| Deepika Kumar | 310 Cedar St # Lh108, New Haven, CT 06510-3218 | Physician/surgeon | 2020-04-01 ~ 2021-04-30 |
| Emre Seli | 310 Cedar St Fmb 228, New Haven, CT 06510-3218 | Controlled Substance Laboratory | 2020-02-25 ~ 2021-01-31 |
| Find all Licenses in zip 06510-3218 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly D Davis | 2 Maple Street, Glastonbury, CT 06033 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Kimberly M Davis-horowitz | 4 Wilshire Dr, White Plains, NY 10605-5415 | Naturopathic Physician | 2020-08-01 ~ 2021-07-31 |
| Othilia D Davis · O D Davis Restoration | 254 Kimberly Ave Ste 162, New Haven, CT 06519 | Home Improvement Contractor | 2003-06-03 ~ 2003-11-30 |
| Mark Davis | Po Box 222, Abingdon, MD 21009-0222 | Physician/surgeon | ~ |
| Kimberly Farrell | 34 Purchase St, Rye, NY 10580 | Physician/surgeon | ~ |
| Davis C Chu | 28-49 Corporal, Bayside, NY 11360 | Physician/surgeon | 2003-07-23 ~ 2004-08-31 |
| Davis Liu | 150 Spear St Ste 350, San Francisco, CA 94105-1747 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kimberly K Whitesell | 22 Eld St, New Haven, CT 06511 | Physician/surgeon | 1995-06-28 ~ 1996-06-30 |
| Alan M Davis | 200 W 86th St, New York, NY 10024 | Physician/surgeon | 1996-12-24 ~ 1998-02-28 |
| Edgar C Davis Jr | Po Box 15538, Durham, NC 27704 | Physician/surgeon | 1992-06-25 ~ 1993-06-30 |
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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).