LYDIA L SHOOK (Credential# 1401824) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2018. The license expiration date date is February 28, 2019. The license status is INACTIVE.
LYDIA L SHOOK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056193. The credential type is physician/surgeon. The effective date is March 1, 2018. The expiration date is February 28, 2019. The business address is 360 State St Apt 2418, New Haven, CT 06510-3606. The current status is inactive.
| Licensee Name | LYDIA L SHOOK |
| Credential ID | 1401824 |
| Credential Number | 1.056193 |
| Credential Type | Physician/Surgeon |
| Business Address |
360 State St Apt 2418 New Haven CT 06510-3606 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2017-02-24 |
| Effective Date | 2018-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1171523 | CSP.0055194 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-07-01 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 360 STATE ST APT 2418 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3606 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael D Otremba | 360 State St Apt 2418, New Haven, CT 06510-3606 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yair Voliovitch | 360 State St Apt 1012, New Haven, CT 06510-3606 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Jovian Yu | 360 State St Apt 1009, New Haven, CT 06510-3606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Theodora Vamvouris | 360 State St Apt 1018, New Haven, CT 06510-3606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Megan Elizabeth Kassick | 360 State St Apt 1014, New Haven, CT 06510-3606 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roula Elmasri | 360 State St Apt 1016 Mb 82, New Haven, CT 06510-3606 | Physician/surgeon | 2016-06-01 ~ 2017-05-31 |
| Amanda W Harrington | 360 State St Apt 1018, New Haven, CT 06510-3606 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Shook | 300 Westage Business Center Drive, Suite 280, Fishkill, NY 12524 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| Lydia M Makapugay | 150 Collins St., Memphis, TN 38112 | Physician/surgeon | 2012-01-01 ~ 2012-12-31 |
| Lydia A Shrier | 72 Hubinger Street, New Haven, CT 06511 | Physician/surgeon | 1994-03-17 ~ 1995-03-31 |
| Lydia A Kapell | 20 Bottoms Road, Florence, MA 01026 | Physician/surgeon | 2009-11-01 ~ 2010-10-31 |
| Shook's Oil Burner Service & Fuel Oil Inc · Richard Shook | 20 Jansen St, Danbury, CT 06810-7174 | Home Heating Fuel Dealer | 2019-10-01 ~ 2020-09-30 |
| Lydia Agnes Josephs | 1300 Ridenour Blvd Suite 300, Kennesaw, GA 30152 | Physician/surgeon | 2020-04-27 ~ 2021-04-30 |
| Shook | Connecticut Brand Registration, CT 061033 | Liquor Brand Label | 2018-07-11 ~ 2021-07-10 |
| Shook Wing Sauce | 293 Leonard Rd, Stafford Springs, CT 06076-3309 | Food Manufacturing Establishment | ~ |
| Shook Design Group Inc | 2151 Hawkins St Suite 400, Charlotte, NC 28203 | Architecture Corporation | 2003-08-01 ~ 2004-07-31 |
| Graceland Cellars All Shook Up California Champagne | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2007-07-03 ~ 2010-07-02 |
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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).