DAVID J SHILING
Controlled Substance Registration for Practitioner


Address: Po Box 1374, Kingston, PA 18704-0374

DAVID J SHILING (Credential# 155656) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.

Business Overview

DAVID J SHILING is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0015323. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is Po Box 1374, Kingston, PA 18704-0374. The current status is lapsed.

Basic Information

Licensee Name DAVID J SHILING
Credential ID 155656
Credential Number CSP.0015323
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address Po Box 1374
Kingston
PA 18704-0374
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 1999-03-01
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
544213 1.022629 Physician/Surgeon 1981-03-04 2017-03-01 - 2018-02-28 PENDING

Office Location

Street Address PO BOX 1374
City KINGSTON
State PA
Zip Code 18704-0374

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Jennifer Kardish 46 Russell St, Edwardsville, PA 18704 Licensed Practical Nurse 2008-05-12 ~ 2009-06-30
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Competitor

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City KINGSTON
Zip Code 18704
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + KINGSTON

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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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