NASTASSIA J SHAW (Credential# 1175911) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
NASTASSIA J SHAW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055674. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 1132 Boulevard, West Hartford, CT 06119-1715. The current status is lapsed.
| Licensee Name | NASTASSIA J SHAW |
| Credential ID | 1175911 |
| Credential Number | CSP.0055674 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1132 Boulevard West Hartford CT 06119-1715 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2013-07-25 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1386015 | 1.055920 | Physician/Surgeon | 2016-11-17 | 2016-11-17 - 2017-07-31 | INACTIVE |
| Street Address | 1132 BOULEVARD |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119-1715 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel J Skiest | 1132 Boulevard, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 1993-05-19 ~ 1995-02-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa M Morales | 1144 Boulevard Fl 2, West Hartford, CT 06119-1715 | Master's Level Social Worker | 2019-06-01 ~ 2020-05-31 |
| Charles P Kohn Jr | 1126 Boulevard, West Hartford, CT 06119-1715 | Real Estate Salesperson | 2009-02-03 ~ 2009-05-31 |
| Babajide Oseni | 1134 Boulevard, West Hartford, CT 06119-1715 | Real Estate Salesperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danna Rae France | 1148 Boulevard, West Hartford, CT 06119 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
| Rayda R Bouma | 122 Richard St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Norbert M Spencer | 17 Oakwood Ave., West Hartford, CT 06119 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Diedra A Dietter | 9 Birch Road, West Hartford, CT 06119 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Dahlia I Belnavis-bigenho · Belnavis | 186 Whiting Lane, West Hartford, CT 06119 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Stephen R Dewey | 68 Richard St, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Vance Jr | 9 Plymouth Rd, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Mark D Hirsch | 105 Griswold Dr, W Hartford, CT 06119 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith Briggs | 29 Troy St, West Hartford, CT 06119 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Thulan P Vu | 74 Park Road, West Hartford, CT 06119 | Nail Technician | 2020-06-24 ~ 2022-06-30 |
| Find all Licenses in zip 06119 | |||
| City | WEST HARTFORD |
| Zip Code | 06119 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fiona Shaw | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Richard A Fraser | Shaw's Cove #3, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Raphael Shaw | 110 Ward Drive, New Rochelle, NY 10804 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roger S Van Dyke Md | 4 Shaw's Cove, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Albert C Shaw Md | Yale Uni Sch of Medicine, New Haven, CT 06520-8022 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexandra K Shaw | 41 Grandview Terrace, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Glenn Hoffman Pa | 78 Shaw's Cove Rd, Fairhaven, MA 02719 | Controlled Substance Registration for Practitioner | 2006-04-05 ~ 2007-02-28 |
| Thomas J Matyas Dds | 4 Shaw's Cove 202, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard K Shaw Md | 12 Villa Rosa Ter, Milford, CT 06460-7915 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Kevin Shaw Md | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on NASTASSIA J SHAW.
| 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).