SHELLEY L AMEN (Credential# 1217761) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SHELLEY L AMEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053039. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is Va Ct Healthcare System, West Haven, CT 06516. The current status is active.
| Licensee Name | SHELLEY L AMEN |
| Credential ID | 1217761 |
| Credential Number | 1.053039 |
| Credential Type | Physician/Surgeon |
| Business Address |
Va Ct Healthcare System West Haven CT 06516 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-06-27 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1082398 | CSP.0053135 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-08-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | VA CT Healthcare System |
| City | West Haven |
| State | CT |
| Zip Code | 06516 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | West Haven |
| Zip Code | 06516 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + West Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amen Ness | 1443 Beacon St, Brookline, MA 02446 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Shelley L Goodstine | 993 Patricia Ct, Orange, CT 06477-1053 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Shelley N Weiner | 31 Crestview Dr, Pleasantville, NY 10570-1426 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
| Shelley Berson | 106 Mcintosh Dr, Mahwah, NJ 07430-3206 | Physician/surgeon | 2016-03-01 ~ 2017-02-28 |
| Gabriela Shelley | 306 Audubon Court, New Haven, CT 06510 | Physician/surgeon | 1993-01-25 ~ 1994-02-28 |
| Kirk H Shelley Md | 86 Kohary Drive, New Haven, CT 06515 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Shelley Smith Tickett | 30 Shelburne Rd, Stamford, CT 06902-3628 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Amen Foundation | 2903 Mills Ave Ne, Washington, DC 20018-2542 | Public Charity-exempt From Financial Requirements | 2011-02-22 ~ |
| Joel Canter | 8 Shelley Hill Road, Stanfordville, NY 12581 | Physician/surgeon | 2010-12-01 ~ 2011-11-30 |
| Shelley P Wood · Shelley's Painting | 120 Hangman Hill Road, N Stonington, CT 06359 | Home Improvement Contractor | 2019-12-19 ~ 2020-11-30 |
Please comment or provide details below to improve the information on SHELLEY L AMEN.
| 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).