SAMAR P SHAH
Physician/surgeon


Address: 26 Belden Ave Unit 1310, Norwalk, CT 06850-3366

SAMAR P SHAH (Credential# 1066170) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2014. The license expiration date date is November 30, 2015. The license status is INACTIVE.

Business Overview

SAMAR P SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051326. The credential type is physician/surgeon. The effective date is December 1, 2014. The expiration date is November 30, 2015. The business address is 26 Belden Ave Unit 1310, Norwalk, CT 06850-3366. The current status is inactive.

Basic Information

Licensee Name SAMAR P SHAH
Credential ID 1066170
Credential Number 1.051326
Credential Type Physician/Surgeon
Business Address 26 Belden Ave Unit 1310
Norwalk
CT 06850-3366
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-08-21
Effective Date 2014-12-01
Expiration Date 2015-11-30
Refresh Date 2016-03-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1120630 CSP.0053588 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2012-09-04 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 26 BELDEN AVE UNIT 1310
City NORWALK
State CT
Zip Code 06850-3366

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Krystal Wilson 26 Belden Ave Unit 1313, Norwalk, CT 06850-3366 Home Improvement Salesperson 2019-12-01 ~ 2020-11-30

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Jill Goldberg Aprn 1 Bonnybrook Road, Norwalk, CT 06850 Advanced Practice Registered Nurse 2020-05-01 ~ 2021-04-30
Allen D Sanchez 22 Newfield St, Norwalk, CT 06850 Registered Nurse 2020-07-01 ~ 2021-06-30
John B Howell 16 Forest Hill Road, Norwalk, CT 06850 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Ting Chen Seven Nails Spa 99 New Canaan Ave, Norwalk, CT 06850 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Vincent Grasso 21 Rae Lane, Norwalk, CT 06850 Architect 2020-08-01 ~ 2021-07-31
Karen G Nicolas 16 Orange St, Norwalk, CT 06850 Registered Nurse 2020-09-01 ~ 2021-08-31
Amarely Sanchez 139 Stuart Ave, Norwalk, CT 06850 Nail Technician ~
Lance E Zimmerman 14 Cliffview Dr, Norwalk, CT 06850 Architect 2020-08-01 ~ 2021-07-31
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Competitor

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City NORWALK
Zip Code 06850
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NORWALK

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Neel P Shah 39 Hospital Ave, Danbury, CT 06810-6027 Physician/surgeon 2018-04-01 ~ 2019-03-31
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Dataset Information

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).

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