JAMES DAVID SHORSER
Physician/surgeon


Address: 480 Bedford Road Suite 4202, Chappaqua, NY 10514

JAMES DAVID SHORSER (Credential# 1639663) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is APPROVED.

Business Overview

JAMES DAVID SHORSER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063800. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 480 Bedford Road Suite 4202, Chappaqua, NY 10514. The current status is approved.

Basic Information

Licensee Name JAMES DAVID SHORSER
Credential ID 1639663
Credential Number 1.063800
Credential Type Physician/Surgeon
Business Address 480 Bedford Road Suite 4202
Chappaqua
NY 10514
Business Type INDIVIDUAL
Status APPROVED - CURRENT
Active 1
Issue Date 2019-07-01
Effective Date 2020-08-01
Expiration Date 2021-07-31
Refresh Date 2020-06-26

Other licenses

ID Credential Code Credential Type Issue Term Status
1675622 CSP.0071904 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2019-07-15 2019-07-15 - 2021-02-28 ACTIVE

Office Location

Street Address 480 Bedford Road suite 4202
City Chappaqua
State NY
Zip Code 10514

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Lauren R Safran 6 Chappaqua Mountain Road, Chappaqua, NY 10514 Licensed Clinical Social Worker 2020-06-01 ~ 2021-05-31
Stacy Weinberg 75 High Way, Chappaqua, NY 10514 Real Estate Salesperson 2019-06-01 ~ 2020-05-31
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John Panzone 42 Hardscrabble Hill Road 42 Hardscrabble Hill Roa, Chappaqua, NY 10514 Physician/surgeon ~
Boris Usherenko 480 Bedford Road, Chappaqua, NY 10514 Physician/surgeon 2020-06-01 ~ 2021-05-31
Ross S Levy 14 Devoe Road, Chappaqua, NY 10514 Physician/surgeon 2020-02-01 ~ 2021-01-31
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Competitor

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City Chappaqua
Zip Code 10514
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Chappaqua

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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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