KOJI NAKASHIMA MD (Credential# 969976) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2012. The license expiration date date is May 31, 2013. The license status is INACTIVE.
KOJI NAKASHIMA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049291. The credential type is physician/surgeon. The effective date is June 1, 2012. The expiration date is May 31, 2013. The business address is 186 Bradley St Fl 2, New Haven, CT 06511-6204. The current status is inactive.
| Licensee Name | KOJI NAKASHIMA MD |
| Credential ID | 969976 |
| Credential Number | 1.049291 |
| Credential Type | Physician/Surgeon |
| Business Address |
186 Bradley St Fl 2 New Haven CT 06511-6204 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2010-10-21 |
| Effective Date | 2012-06-01 |
| Expiration Date | 2013-05-31 |
| Refresh Date | 2013-09-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 975495 | CSP.0049371 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-11-22 | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 186 BRADLEY ST FL 2 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-6204 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kei Satoh | 150 Bradley St Unit 2, New Haven, CT 06511-6204 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Caroline Luciani | 162 Bradley St Apt 2, New Haven, CT 06511-6204 | Controlled Substance Registration for Practitioner | 2020-03-12 ~ 2021-02-28 |
| Rebecca Miller Rich | 154 Bradley St Apt 1, New Haven, CT 06511-6204 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Kathryn Lesko | 178 Bradley St, New Haven, CT 06511-6204 | Psychologist | 2019-12-01 ~ 2020-11-30 |
| John Prodis | 144 Bradley St, New Haven, CT 06511-6204 | Real Estate Broker | 2001-04-03 ~ 2002-03-31 |
| Erin K George | 186 Bradley St, New Haven, CT 06511-6204 | Registered Nurse | 2011-01-01 ~ 2011-12-31 |
| Joseph R Dodson | 154 Bradley St, New Haven, CT 06511-6204 | Occupational Therapist | 2015-10-02 ~ 2017-07-31 |
| 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 |
|---|---|---|---|
| Pennie M Nakashima | 309 Tavistock Dr, Saint Augustine, FL 32095-8401 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Celia G Koji | 206 Cemetary Rd, Canterbury, CT 06331 | Licensed Practical Nurse | 2007-12-04 ~ 2008-12-31 |
| Koji Park | 515 W 59th St Apt 24e, New York, NY 10019-1043 | Controlled Substance Registration for Practitioner | 2013-07-23 ~ 2015-02-28 |
| Tuan Tran · Koji Yakitori Sake Bar | 17 Asylum St, Hartford, CT 06103-2208 | Cafe Liquor | 2017-09-05 ~ 2018-08-29 |
| Tuan A Tran · Koji of New Haven | 182 Temple St, New Haven, CT 06510-2616 | Cafe Liquor | 2012-03-23 ~ 2013-03-22 |
| Kinki Sain Co Ltd | 527-1 Inukai Koji-cho, Kanzaki-gun Hyogo-ken, 6792131 | Non-alcoholic Beverage & Water Bottlers | 2008-07-01 ~ 2009-06-30 |
| 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 |
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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).