DAVID B SHAMASH
Controlled Substance Registration for Practitioner


Address: 132 Mansfield Ave Ste 210, Willimantic, CT 06226-2034

DAVID B SHAMASH (Credential# 149465) 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

DAVID B SHAMASH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0001187. 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 132 Mansfield Ave Ste 210, Willimantic, CT 06226-2034. The current status is active.

Basic Information

Licensee Name DAVID B SHAMASH
Credential ID 149465
Credential Number CSP.0001187
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 132 Mansfield Ave Ste 210
Willimantic
CT 06226-2034
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-03-01
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-10

Other licenses

ID Credential Code Credential Type Issue Term Status
700679 2.004824 Dentist 1901-01-01 2019-10-01 - 2020-09-30 ACTIVE

Office Location

Street Address 132 MANSFIELD AVE STE 210
City WILLIMANTIC
State CT
Zip Code 06226-2034

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Competitor

Search similar business entities

City WILLIMANTIC
Zip Code 06226
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WILLIMANTIC

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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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