BRIAN SHAH (Credential# 1324932) 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.
BRIAN SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0061853. 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 87 State St, Guilford, CT 06437-2723. The current status is lapsed.
Licensee Name | BRIAN SHAH |
Credential ID | 1324932 |
Credential Number | CSP.0061853 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
87 State St Guilford CT 06437-2723 |
Business Type | INDIVIDUAL |
Status | LAPSED |
Active | 1 |
Issue Date | 2015-12-15 |
Effective Date | 2017-03-01 |
Expiration Date | 2019-02-28 |
Refresh Date | 2019-03-06 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1313137 | 2.011532 | Dentist | 2015-12-03 | 2017-04-01 - 2018-03-31 | INACTIVE |
1310569 | 1.054857 | Physician/Surgeon | 2016-01-08 | 2017-04-01 - 2018-03-31 | INACTIVE |
1330901 | 22.008490 | Dental Anesthesia/Conscious Sedation Permit | 2016-06-13 | 2016-06-13 - 2017-06-30 | INACTIVE |
Street Address | 87 STATE ST |
City | GUILFORD |
State | CT |
Zip Code | 06437-2723 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
James P Scialabba Dmd | 87 State St, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Waldo & Associates LLC | 89 State St, Guilford, CT 06437-2723 | Joint Practice | 2020-05-01 ~ 2021-04-30 |
Jennifer L Young | 84 Fair St, Guilford, CT 06437-2723 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Benjamin T Ocalewski · Oak House | 55 State St Rear, Guilford, CT 06437-2723 | Home Improvement Contractor | 2015-07-09 ~ 2015-11-30 |
Christopher M Young Md | 84 Fair St, Guilford, CT 06437-2723 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Robert E Sonnichsen | 89 State St, Guilford, CT 06437-2723 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jane E Olsen | Po Box 601, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
Alanna Munzenmaier | 81 Saw Mill Rd, Guilford, CT 06437 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
Sandra L Lion | 84 Granite Road, Guilford, CT 06437 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Nimet H Memik-moavero | 110 Cherry Street, Guilford, CT 06437 | Real Estate Salesperson | ~ |
Jacklyn Nicole Basilicato | 345 Saw Mill Road, Guilford, CT 06437 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Alissa Bailey | 5 Streamview Circle, Guilford, CT 06437 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
The Marketplace Emporia LLC · The Marketplace Emporia, LLC | 77-79 Whitfield Street, Guilford, CT 06437 | Bakery | 2020-07-01 ~ 2021-06-30 |
Deborah Ackles | 46clear Lake Manor Road, Guilford, CT 06437 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
Bruce D Mccann | 200 State St, Guilford, CT 06437 | Architect | 2020-08-01 ~ 2021-07-31 |
Stephanie J Jacobs | 130 Winthrop Rd, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
Find all Licenses in zip 06437 |
City | GUILFORD |
Zip Code | 06437 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GUILFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hajra Shah | Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Anuj R Shah Md | 23 Mattabasset Dr, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Dhara K Shah | 61 Royal Dr Apt 216, Piscataway, NJ 08854-3455 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Hitesh Shah | 80 Seymour St, Hartford, CT 06102 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Aman Shah | 900 Chapel St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Lopa M Shah | 408 New Britain Ave, Hartford, CT 06106-3889 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Sanjay N Shah | 31 Westwood Dr, Massena, NY 13662 | Controlled Substance Registration for Practitioner | 2015-04-03 ~ 2017-02-28 |
Tejal P Shah | 10 Norwood Way, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Manan U Shah | 19 Library Ln S, Sturbridge, MA 01566-1093 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Suvarna M Shah Md | 9 Mott Ave, Norwalk, CT 06850 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
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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).