WILLIAM S SHESTAK (Credential# 1202776) 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.
WILLIAM S SHESTAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056613. 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 6 Mardon Rd, Larchmont, NY 10538-1754. The current status is active.
| Licensee Name | WILLIAM S SHESTAK |
| Credential ID | 1202776 |
| Credential Number | CSP.0056613 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
6 Mardon Rd Larchmont NY 10538-1754 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-02-25 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1201698 | 1.052776-DO | Physician/Surgeon | 2014-02-25 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 6 MARDON RD |
| City | LARCHMONT |
| State | NY |
| Zip Code | 10538-1754 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alan B Bernstein | 29 Mountain Ave, Larchmont, NY 10538 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Gay B Prizio | 14 N. Chatsworth Avenue, Larchmont, NY 10538 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
| Nestor J Kyritsis | 26 Plymouth Rd, Larchmont, NY 10538 | Architect | 2018-12-17 ~ 2019-07-31 |
| Jill K Patricot | 63 Chestnut Avenue, Larchmont, NY 10538 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kinnan K O'connell | 81 Willow Ave, Larchmont, NY 10538 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Sandra Rose | 76 Wendt Ave, Larchmont, NY 10538 | Certified Residential Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| John D Parker | 10 Rockhill Terrace, Larchmont, NY 10538 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Leslie Ellen Coplin | 4 Concord Avenue, Larchmont, NY 10538 | Master's Level Social Worker | 2020-04-06 ~ 2021-03-31 |
| Tuccimar Inc. | 46 Vanderburgh Ave, Larchmont, NY 10538 | Demolition Contractor | 2020-04-06 ~ 2021-04-30 |
| Denise Digioia Aprn | 35 N Chatsworth Avenue, Larchmont, NY 10538 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 10538 | |||
| City | LARCHMONT |
| Zip Code | 10538 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LARCHMONT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William D Donovan Md | William W Backus Hospital, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William A Gay | 34 Ten Rod Rd, Voluntown, CT 06384-1726 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William Drucker Md | Po Box 408, Washington, CT 06794 | Controlled Substance Registration for Practitioner | 2013-04-16 ~ 2015-02-28 |
| William W. Stewart | 31 River Rd Ste 100, Cos Cob, CT 06807-2152 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| William S Kim | 100 Haven Ave., New York, NY 10032-2652 | Controlled Substance Registration for Practitioner | 2019-03-22 ~ 2021-02-28 |
| William L Joughin | Po Box 331, Guilford, CT 06437-0331 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| William G Covey Md | Fairfield, CT 06825 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| William A Martimucci Md | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William J Hostnik | P.o Box #686, Old Lyme, CT 06371 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| William Aquila Pa | 123 Second St, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Please comment or provide details below to improve the information on WILLIAM S SHESTAK.
| 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).