PHYLISS H SHAPIRO (Credential# 154508) 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.
PHYLISS H SHAPIRO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015041. 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 2 Trap Falls Rd Ste 510, Shelton, CT 06484-4616. The current status is active.
| Licensee Name | PHYLISS H SHAPIRO |
| Credential ID | 154508 |
| Credential Number | CSP.0015041 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2 Trap Falls Rd Ste 510 Shelton CT 06484-4616 |
| 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 | 2019-01-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 546888 | 1.027973 | Physician/Surgeon | 1987-03-13 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 2 TRAP FALLS RD Ste 510 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-4616 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Safian Dds | 2 Trap Falls Rd, Shelton, CT 06484-4616 | Dental Anesthesia/conscious Sedation Permit | 2020-09-01 ~ 2021-08-31 |
| Edward M Jordan | 2 Trap Falls Rd Ste 312, Shelton, CT 06484-4616 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Progressive Institute, LLC | 2 Trap Falls Rd Ste 120, Shelton, CT 06484-4616 | Psychiatric Outpatient Clinic | 2019-01-03 ~ 2022-09-30 |
| Northeast Private Client Group LLC | 2 Trap Falls Rd Ste 312, Shelton, CT 06484-4616 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Lisa S Rome | 2 Trap Falls Rd, Shelton, CT 06484-4616 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Fadi M Hammoud Md | 2 Trap Falls Rd, Shelton, CT 06484-4616 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natasha Shapiro | 129 York St Apt 8c, New Haven, CT 06511-5662 | Controlled Substance Registration for Practitioner | 2011-06-14 ~ 2013-02-28 |
| Pamela J. Shapiro | 2 Sunset Trl, Avon, CT 06001-3468 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philip E Shapiro | 140 Green Rd, Meriden, CT 06450-6612 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Simon J Shapiro | 22 Locust St, Greenwich, CT 06830-6317 | Controlled Substance Registration for Practitioner | 2019-05-06 ~ 2021-02-28 |
| Paul A Shapiro Dds | Main St, New Hartford, CT 06057 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Andrea Shapiro | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Michael M Shapiro Md | 125 Skyline Dr, Middlebury, CT 06762-1720 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Eugene D Shapiro Md | 47 Bellevue Rd, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Martin R Shapiro | 202 Cherry St, Milford, CT 06460 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| J R Shapiro | 5501 4th St N, Saint Petersburg, FL 33703-2251 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on PHYLISS H SHAPIRO.
| 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).