JAI SHAH (Credential# 1082628) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
JAI SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0053150. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 34 Park Street, New Haven, CT 06511. The current status is inactive.
| Licensee Name | JAI SHAH |
| Credential ID | 1082628 |
| Credential Number | CSP.0053150 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
34 Park Street New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2012-07-24 |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1056562 | 1.050767 | Physician/Surgeon | 2012-04-02 | 2012-04-02 - 2013-04-30 | INACTIVE |
| Street Address | 34 PARK STREET |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dale D Sebastian | 34 Park Street, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Carlos A Salgado | 34 Park Street, New Haven, CT 06519 | Resident Physician | 2014-07-01 ~ 2021-06-30 |
| Reena Kapoor Md | 34 Park Street, New Haven, CT 06519 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Allison N Ponce | 34 Park Street, New Haven, CT 06519 | Psychologist | 2020-03-01 ~ 2021-02-28 |
| Eliza Christine Buelt | 34 Park Street, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2019-05-09 ~ 2021-02-28 |
| Kristin Sorlie | 34 Park Street, New Haven, CT 06519 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
| 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 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hajra Shah | Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Parin R Shah | 294 Echelon Rd Apt 7, Voorhees, NJ 08043-2441 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Amit A Shah | 20 York St # 209, New Haven, CT 06512 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Amisha A Shah | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Darshan J Shah | 139 Hazard Ave Ste 1-4, Enfield, CT 06082-4583 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Manasi M Shah Md | 23 Mattabasset Dr, Meriden, CT 06450-7427 | Controlled Substance Registration for Practitioner | 2013-03-07 ~ 2015-02-28 |
| Sona Shah | 333 E 45th St Apt 9a, New York, NY 10017-3418 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Suvarna M Shah Md | 9 Mott Ave, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Tejal P Shah | 10 Norwood Way, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dhara K Shah | 61 Royal Dr Apt 216, Piscataway, NJ 08854-3455 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on JAI SHAH.
| 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).