ABID SHAH
Controlled Substance Registration for Practitioner


Address: 140 Kyles Way, Shelton, CT 06484

ABID SHAH (Credential# 1376542) 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.

Business Overview

ABID SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063941. 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 140 Kyles Way, Shelton, CT 06484. The current status is active.

Basic Information

Licensee Name ABID SHAH
Credential ID 1376542
Credential Number CSP.0063941
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 140 Kyles Way
Shelton
CT 06484
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-08-31
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1386486 1.056045 Physician/Surgeon 2017-01-03 2019-12-01 - 2020-11-30 ACTIVE
1489309 1.058539-RES Resident Physician 2017-07-01 2019-07-01 - 2020-06-30 ACTIVE

Office Location

Street Address 140 Kyles Way
City Shelton
State CT
Zip Code 06484

Licenses in the same zip code

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Scott J Kudravy 2a Garden Ter, Shelton, CT 06484 Radiographer 2020-08-01 ~ 2021-07-31
Melissa E Filanowski 265 Mohegan Rd, Shelton, CT 06484 Licensed Practical Nurse 2020-09-01 ~ 2021-08-31
Danuta Adamson · Chmiel 101 Dickinson Drive, Shelton, CT 06484 Registered Nurse 2020-09-01 ~ 2021-08-31
Sandra E Mercier 234 Deer Run, Huntington, CT 06484 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
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Victoria Mary Bucci 53 Isinglass Rd, Shelton, CT 06484 Master's Level Social Worker ~
Samuel L Smith 122 Maple Avenue, Shelton, CT 06484 Dietitian/nutritionist 2020-08-01 ~ 2021-07-31
Cindy Hubbell Vidal 17 Sherwood Lane, Shelton, CT 06484 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Rosa Conners 189 Coram Avenue, Shelton, CT 06484 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Erica Azzarito 40 Clinton Drive, Shelton, CT 06484 Notary Public Appointment 2020-08-01 ~ 2025-07-31
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Competitor

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City Shelton
Zip Code 06484
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Shelton

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Ruta M Shah 111 Park St #6p, New Haven, CT 06511 Controlled Substance Registration for Practitioner 2006-03-27 ~ 2007-02-28
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Dataset Information

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).

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