GYEYEE SHIN MD (Credential# 565491) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
GYEYEE SHIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047909. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 4699 Main Street, Bridgeport, CT 06606. The current status is active.
Licensee Name | GYEYEE SHIN MD |
Credential ID | 565491 |
Credential Number | 1.047909 |
Credential Type | Physician/Surgeon |
Business Address |
4699 Main Street Bridgeport CT 06606 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2009-07-02 |
Effective Date | 2020-08-01 |
Expiration Date | 2021-07-31 |
Refresh Date | 2020-06-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
886078 | CSP.0046009 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-07-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 4699 Main Street |
City | Bridgeport |
State | CT |
Zip Code | 06606 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeffrey N Kaplan Md | 4699 Main Street, Bridgeport, CT 06606 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Mehran Azar Md | 4699 Main Street, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Katherine J Pesce | 4699 Main Street, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jeffrey R Sandler Md | 4699 Main Street, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Benjamin Weisman Md | 4699 Main Street, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Paul A Possick Md | 4699 Main Street, Bridgeport, CT 06606 | Physician/surgeon | 2004-02-20 ~ 2005-04-30 |
Susan S Cho Md | 4699 Main Street, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
Daniel Alkaitis Md · C/o Associated Neurology | 4699 Main Street, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 1994-05-10 ~ 1996-06-01 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Julia Lopez | 147 Rocton Ave, Bridgeport, CT 06606 | Nail Technician | ~ |
Sonia M Lozada | 207 Jackson Avenue, Bridgeport, CT 06606 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Angelo Preci · E&j Package Store | 4500 Main Street, Bridgeport, CT 06606 | Package Store Liquor | 2020-07-15 ~ 2021-07-14 |
Sarah Akinosho Ogunbiyi | 438 Chopsey Hill Rd, Bridgeport, CT 06606 | Medication Administration Certification | 2020-05-04 ~ 2022-05-03 |
Luz Aida Mora | 435 High Ridge Drive, Bridgeport, CT 06606 | Professional Counselor | ~ |
Hortensia E Wright | 376 Funston Ave, Bridgeport, CT 06606 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
Jacqueline Moffatt | 173 Queen Street, Bridgeport, CT 06606 | Master's Level Social Worker | ~ |
Marisa L Drapp | 9b Patricia Road, Bridgeport, CT 06606 | Real Estate Salesperson | ~ |
Robert D Meeker | 57 Alexander Avenue, Bridgeport, CT 06606 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
D'andria L Young | 394 Indian Ave, Bridgeport, CT 06606 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Find all Licenses in zip 06606 |
City | Bridgeport |
Zip Code | 06606 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Bridgeport |
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 |
Chung K Shin | 91 East Ave, Norwalk, CT 06851 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
David H Shin | 6 Harbour Close, New Haven, CT 06519 | Physician/surgeon | ~ 1997-05-31 |
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 |
Myung S Shin Md | 227 Church Street Apt. 8g, New Haven, CT 06510 | Physician/surgeon | 2017-06-01 ~ 2018-05-31 |
Patrick C Shin Md | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2013-11-01 ~ 2014-10-31 |
James Chi-shin Liu Md | Bowling Green Station, New York, NY 10274-1231 | Physician/surgeon | 1999-11-02 ~ 2000-10-31 |
Wei - Shin Lai Md | High Ridge Family Practice, Stamford, CT 06905 | Physician/surgeon | 2007-02-20 ~ 2008-03-31 |
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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).