PATRICK C SHIN MD (Credential# 923767) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2013. The license expiration date date is October 31, 2014. The license status is INACTIVE.
PATRICK C SHIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048992. The credential type is physician/surgeon. The effective date is November 1, 2013. The expiration date is October 31, 2014. The business address is 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349. The current status is inactive.
| Licensee Name | PATRICK C SHIN MD |
| Credential ID | 923767 |
| Credential Number | 1.048992 |
| Credential Type | Physician/Surgeon |
| Business Address |
11995 Singletree Ln Ste 500 Eden Prairie MN 55344-5349 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-07-14 |
| Effective Date | 2013-11-01 |
| Expiration Date | 2014-10-31 |
| Refresh Date | 2015-02-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 946422 | CSP.0048408 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-08-09 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 11995 SINGLETREE LN STE 500 |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55344-5349 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ira M Tyler | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arlene Sussman | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Albert C Ybasco | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Gregg P Sydow | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Scott R Kerns | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jennifer Sur Gutierrez | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Reem S Awwad | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Alan S Muraki | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Steven B Edson | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Bruce J Thaler | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard L Toothman | 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Christian Binder | Suite 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2012-02-01 ~ 2013-01-31 |
| Priti B Ram Md | 11995 Singletree Lane, Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2018-02-01 ~ 2019-01-31 |
| Peter D Holt | 11995 Singletree Lane, Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2015-05-01 ~ 2016-04-30 |
| Eduard Michel | 11995 Singletree Ln, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Richard S Chang | 11995 Singletree Ln, Eden Prairie, MN 55344-5349 | Physician/surgeon | 2010-03-01 ~ 2011-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donald T Nicell | 11995 Singletree Lane, Eden Prairie, MN 55344 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Neuroone Medical Technologies Corp | 7599 Anagram Dr, Eden Prairie, MN 55344 | Securities - Exemptions | 2020-05-15 ~ |
| Robert Edward Stone | 11995 Singletree Lane, Ste 500, Eden Prairie, MN 55344 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Daniel James Tangert | 6400 Fallbrook Rd., Eden Prairie, MN 55344 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Dmitry Bolkhovets | 11995 Singletree Ln, Eden Prairie, MN 55344 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Zinpro | 104000 Vikings Drive, Suite 240, Eden Prairie, MN 55344 | Commercial Feed | 2020-03-05 ~ 2020-12-31 |
| Michael Wallace Sentome | 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Stephanie Denise Johnson | 8423 Cortland Rd, Eden Prairie, MN 55344 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Ashley Nicole Ingram | 11000 Optum Circle, Eden Prairie, MN 55344 | Registered Nurse | 2020-01-16 ~ 2020-08-31 |
| Colleen M Steven | 13900 Chestnut Drive # 208, Eden Prarie, MN 55344 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 55344 | |||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + EDEN PRAIRIE |
| 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 |
| Frank Shin | 300 Westage Business Ctr Dr Ste 280, Fishkill, NY 12524-2236 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| David H Shin | 6 Harbour Close, New Haven, CT 06519 | Physician/surgeon | ~ 1997-05-31 |
| 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 |
| 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 |
| James Chi-shin Liu Md | Bowling Green Station, New York, NY 10274-1231 | Physician/surgeon | 1999-11-02 ~ 2000-10-31 |
Please comment or provide details below to improve the information on PATRICK C SHIN MD.
| 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).