CHIRAG ASHOKKUMAR SHAH (Credential# 1000888) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CHIRAG ASHOKKUMAR SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050307. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 650 Flintlock Rd, Southport, CT 06890. The current status is active.
Licensee Name | CHIRAG ASHOKKUMAR SHAH |
Credential ID | 1000888 |
Credential Number | CSP.0050307 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
650 Flintlock Rd Southport CT 06890 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2011-06-29 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-02-19 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1495907 | 1.060432 | Physician/Surgeon | 2018-04-26 | 2020-01-01 - 2020-12-31 | ACTIVE |
1490975 | 1.059077-RES | Resident Physician | 2014-06-24 | 2014-06-24 - 2019-06-30 | INACTIVE |
Street Address | 650 Flintlock Rd |
City | Southport |
State | CT |
Zip Code | 06890 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Megha R Shah | 650 Flintlock Rd, Southport, CT 06890 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alexander Esposito | 312 High Meadow Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
Christina Muller | 243 Sturbridge Lane, Southport, CT 06890 | Licensed Clinical Social Worker | ~ |
Carmen R Weber | 45 Split Rock Road, Southport, CT 06890 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
Cher A Anderson | 10 Anvil Road, Southport, CT 06890 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Christal L T Rodenhiser | 193 Osborne Ln, Southport, CT 06890 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
David S Parker | P.o. Box 491, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
Peter H Ventriglia | 60 Chester Pl, Southport, CT 06890 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
Jennifer Adell Efstathiou | 237 Woodrow Avenue, Southport, CT 06890 | Esthetician | ~ |
Brenda L Vanfleet | 160 Range Rd, Southport, CT 06890 | Dental Hygienist | 2020-06-01 ~ 2021-05-31 |
John S Brice | 71 Old Post Rd, Southport, CT 06890 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06890 |
City | Southport |
Zip Code | 06890 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Southport |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ashokkumar K Shah Md | 2 Rufus Street, Ansonia, CT 06401 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Chirag Vaidya Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Chirag R Parikh Md | 950 Campbell Ave, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Hajra Shah | Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Suvarna M Shah Md | 9 Mott Ave, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Nilay Shah | 550 W 54th St, New York, NY 10019 | Controlled Substance Registration for Practitioner | 2019-02-27 ~ 2021-02-28 |
Sunil Shah | 19 Jerome Dr, Farmingdale, NY 11735-1810 | Controlled Substance Registration for Practitioner | 2018-12-21 ~ 2021-02-28 |
Shivani S Shah | 423 E 90th St Apt 6 F, New York, NY 10128-4236 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Aman Shah | 900 Chapel St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Suresh M Shah Md | 29 Cascade Rd, W Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
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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).