SHELBY GALLOWAY MD (Credential# 158449) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
SHELBY GALLOWAY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0017010. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 12709 Willow Point Dr, Fredericksburg, VA 22408. The current status is inactive.
| Licensee Name | SHELBY GALLOWAY MD |
| Credential ID | 158449 |
| Credential Number | CSP.0017010 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
12709 Willow Point Dr Fredericksburg VA 22408 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2009-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2013-03-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 541990 | 1.016621 | Physician/Surgeon | 1974-05-30 | 2009-06-03 - 2010-07-31 | INACTIVE |
| Street Address | 12709 WILLOW POINT DR |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22408 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kenneth Edward Baldacci Jr · Baldacci Promotions Inc | 11623 New Bond Street, Fredericksburg, VA 22408 | Closing Out Sale Promoter | 2015-04-13 ~ 2016-04-12 |
| William H Mcdonald | 3715 Fairways Court, Fredericksburg, VA 22408 | Professional Engineer | 1987-02-26 ~ 1988-01-31 |
| Marcia Boyne | 4417 Mine Rd, Fredricksburg, VA 22408 | Hairdresser/cosmetician | 1995-01-17 ~ 1995-10-31 |
| Ramil Q Reluya | 4100 Glouster Ln, Fredericksburg, VA 22408 | Registered Nurse | 2002-03-22 ~ 2002-12-31 |
| Barbara P Hasaka | 9817 Ramsay Drive, Fredericksburg, VA 22408 | Licensed Practical Nurse | 1996-12-17 ~ 1997-12-31 |
| Barbara K Lang | 10111 Oat Lands Pl, Fredericksburg, VA 22408 | Registered Nurse | 1998-04-28 ~ 1999-04-30 |
| Stephanie Elliott | 10 Winton Harriet Row Court, Fredricksburg, VA 22408 | Registered Nurse | 2001-10-17 ~ 2002-04-30 |
| Bowman Companies Inc | One Bowman Dr, Fredericksburg, VA 22408 | Out of State Shipper Liquor | 2004-06-01 ~ 2005-05-31 |
| Simmons Manufacturing Co LLC | 9601 Cosner Dr, Fredericksburg, VA 22408 | Manufacturer of Bedding & Upholstered Furniture | 2016-05-01 ~ 2017-04-30 |
| Jennifer Reluya | 4100 Glouster Ln, Fredericksburg, VA 22408 | Registered Nurse | 2001-08-06 ~ 2002-08-31 |
| Find all Licenses in zip 22408 | |||
| City | FREDERICKSBURG |
| Zip Code | 22408 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FREDERICKSBURG |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patrick M O'beirne | 314 E Spencer Ln, Galloway, NJ 08205-3256 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shelby Rimetz | 408 Trails End Road, Manchester, CT 06042 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shelby Y Kunishima | 1415 Liholiho St Apt 709, Honolulu, HI 96822-4140 | Controlled Substance Registration for Practitioner | 2012-07-13 ~ 2013-02-28 |
| Bryan C Shelby Md | 950 Campbell Ave, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hinette Shelby Rosario | 20 York St Rm 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-06-07 ~ 2021-02-28 |
| Joe R Galloway Jr · Joyce E Galloway | 849 Long Cove Rd, Gales Ferry, CT 06335 | Real Estate Salesperson | 2000-06-01 ~ 2001-05-31 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
Please comment or provide details below to improve the information on SHELBY GALLOWAY 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).