JEREMIAH T SHEA DPM
Controlled Substance Registration for Practitioner


Address: 302 Captians Walk, New London, CT 06320

JEREMIAH T SHEA DPM (Credential# 149681) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 1997. The license expiration date date is February 28, 1998. The license status is INACTIVE.

Business Overview

JEREMIAH T SHEA DPM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0000840. The credential type is controlled substance registration for practitioner. The effective date is March 1, 1997. The expiration date is February 28, 1998. The business address is 302 Captians Walk, New London, CT 06320. The current status is inactive.

Basic Information

Licensee Name JEREMIAH T SHEA DPM
Credential ID 149681
Credential Number CSP.0000840
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 302 Captians Walk
New London
CT 06320
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1997-03-01
Expiration Date 1998-02-28
Refresh Date 2005-12-15

Other licenses

ID Credential Code Credential Type Issue Term Status
698828 19.000186 Podiatrist 1951-02-07 1996-04-04 - 1997-03-31 INACTIVE

Office Location

Street Address 302 CAPTIANS WALK
City NEW LONDON
State CT
Zip Code 06320

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Competitor

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City NEW LONDON
Zip Code 06320
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW LONDON

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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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