HOMER B SHOUP MD (Credential# 147425) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 22, 1993. The license expiration date date is February 1, 1995. The license status is INACTIVE.
HOMER B SHOUP MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0000749. The credential type is controlled substance registration for practitioner. The effective date is January 22, 1993. The expiration date is February 1, 1995. The business address is 131 Kings Hwy, Westport, CT 06880. The current status is inactive.
| Licensee Name | HOMER B SHOUP MD |
| Credential ID | 147425 |
| Credential Number | CSP.0000749 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
131 Kings Hwy Westport CT 06880 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1993-01-22 |
| Expiration Date | 1995-02-01 |
| Refresh Date | 2004-04-23 |
| Street Address | 131 KINGS HWY |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard M Shoup Md | 112 Spencer St, Manchester, CT 06040-4601 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Margaret Carol Shoup | 14 Hidden Brook Drive, Brookfield, CT 06804 | Controlled Substance Registration for Practitioner | 2019-01-02 ~ 2021-02-28 |
| Deborah Homer | 193 Oxford Rd, Charlton, MA 01507-1440 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Donald Homer Md | 128 Chichester Rd, New Canaan, CT 06840 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Barbara Fay Willis | 119 Forest Grove Road, Homer, LA 71040 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard Homer | 28332 Town Walk Dr, Hamden, CT 06518-3780 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Shoup | Connecticut Brand Registration, Hartford, CT 06103 | Liquor Brand Label | 2018-10-23 ~ 2021-10-22 |
| Homer Gen Cntrctng Inc | 23-42 24th Ave, Astoria, NY 11105 | Home Improvement Contractor | ~ 1995-10-01 |
| Homer Street Shell | 79 Homer St, Waterbury, CT 06704 | Non Legend Drug Permit | 2012-01-01 ~ 2012-12-31 |
| David C Brown | 6754 E Homer Balt Rd, Homer, NY 13077 | Plumbing & Piping Limited Journeyperson | ~ |
Please comment or provide details below to improve the information on HOMER B SHOUP MD.
| 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).