DANIEL J SHOEMAKER DDS (Credential# 1415413) 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.
DANIEL J SHOEMAKER DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065122. 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 31 Independence Way, Middlefield, CT 06455-1265. The current status is active.
| Licensee Name | DANIEL J SHOEMAKER DDS |
| Credential ID | 1415413 |
| Credential Number | CSP.0065122 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
31 Independence Way Middlefield CT 06455-1265 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-05-02 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 155472 | CSP.0015309 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 701790 | 2.007050 | Dentist | 1987-06-13 | 2019-12-01 - 2020-11-30 | RETIRED |
| Street Address | 31 INDEPENDENCE WAY |
| City | MIDDLEFIELD |
| State | CT |
| Zip Code | 06455-1265 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chad D Fuggi | 23 Independence Way, Middlefield, CT 06455-1265 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Melissa A Fuggi | 23 Independence Way, Middlefield, CT 06455-1265 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth Bekui Md | 17 Orchard Lane, Middlefield, CT 06455 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Millicent M Malcolm | 369 Baileyville Rd, Middlefield, CT 06455 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Joanne Giardina | 28 Valley Heights Dr, Middlefield, CT 06455 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Adam E Perrin Md · Mhs Primary Care Incorporated | 400 Baileyville Road, Middlefield, CT 06455 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lyman Orchards Apple Barrel | Route 157, Middlefield, CT 06455 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Infinity Building LLC | 10 Levesque Rd, Middlefield, CT 06455 | Home Improvement Contractor | 2020-06-17 ~ 2020-11-30 |
| Mark Albin Dvm | Powder Ridge Vet Hospital, Middlefield, CT 06455 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Pamela M Branciforte | 115 Cherry Hill Rd, Middlefield, CT 06455 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Megan E Etheridge | 86 School Street, Middlefield, CT 06455 | Real Estate Salesperson | 2020-06-08 ~ 2021-05-31 |
| Z Jan Wojas | 5 Race Track Hollow, Middlefield, CT 06455 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06455 | |||
| City | MIDDLEFIELD |
| Zip Code | 06455 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MIDDLEFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sheila E Shoemaker | 65 Deepwood Dr, Vernon, CT 06066 | Controlled Substance Registration for Practitioner | 2019-04-29 ~ 2021-02-28 |
| Nicholas P Pietris | 2268 Daniel Island Drive, Daniel Island, SC 29492 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Daniel Southern Md | Daniel Owen Smith Southern, M.d., Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daniel J Degala | 99 Arbor Dr, Ho Ho Kus, NJ 07423-1647 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Daniel J Leonard Iv | 826 Elm St, New Haven, CT 06511-4010 | Controlled Substance Registration for Practitioner | 2011-07-12 ~ 2013-02-28 |
| Daniel Morgensztern | Fmp 121, New Haven, CT 06510-8028 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Daniel Lim | 111 Park St Apt 8e, New Haven, CT 06511-5455 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Daniel K Woo | 100 Jefferson Sq 6h, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Daniel M Mclennon Dds | Po Box 327, Coventry, CT 06238-0327 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Daniel Lee | 680 Mix Avenue, Apt #3a, Hamden, CT 06514 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).