SHAHEENA SHAN MD (Credential# 427838) 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.
SHAHEENA SHAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0038770. 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 39 Maple Hill Ave, Newington, CT 06111-2720. The current status is active.
| Licensee Name | SHAHEENA SHAN MD |
| Credential ID | 427838 |
| Credential Number | CSP.0038770 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
39 Maple Hill Ave Newington CT 06111-2720 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-02-03 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| Street Address | 39 MAPLE HILL AVE |
| City | NEWINGTON |
| State | CT |
| Zip Code | 06111-2720 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amir Ahmad Md | 39 Maple Hill Ave, Newington, CT 06111-2720 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Meagan E Montano | 85 Maple Hill Ave, Newington, CT 06111-2720 | Dental Hygienist | 2020-06-01 ~ 2021-05-31 |
| Kristen A Poulin | 29 Liberty Street, Newington, CT 06111-2720 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Lauren B Kosowicz | 107 Maple Hill Ave, Newington, CT 06111-2720 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Judith S Zysk | 93 Maple Hill Avenue, Newington, CT 06111-2720 | Notary Public Appointment | 2011-01-01 ~ 2015-12-31 |
| Donna L Dimauro | 61 Maple Hill Ave, Newington, CT 06111-2720 | Licensed Practical Nurse | 2017-11-01 ~ 2018-10-31 |
| Astha Shrestha | 43 Maple Hill Ave, Newington, CT 06111-2720 | Registered Nurse | 2017-09-01 ~ 2018-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | NEWINGTON |
| Zip Code | 06111 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEWINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shaheena Shan | 39 Maple Hill Avenue, Newington, CT 06111 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Shan Guo | 2800 Main St, Bridgeport, CT 06606 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Eldy Pet Fashion (kun Shan) Co Ltd | No240 Beiyuan Road Dian Shan Lake, Kunshan Jiangsu, 215345 | Manufacturer of Bedding & Upholstered Furniture | 2008-07-30 ~ 2009-04-30 |
| Shan M Jeffcoat | 6 Smith St Apt 1, Pawcatuck, CT 06379 | Home Improvement Contractor | ~ 1995-12-01 |
| Shan Wei Shi Hangway Handbag Manufacturing Co Ltd | Shan Wei Shi Cheng Qu Ma Gong Zhen, Guangdong, 516600 | Manufacturer of Bedding & Upholstered Furniture | 2016-05-01 ~ 2017-04-30 |
| Kuo Ching (he Shan) Company Limited | Pu Tang Ind Shuang He Town, He Shan City, 529735 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Lerado (zhong Shan) Industrial Co Ltd | No 202 Kui Xin Rd Dong Sheng Town, Zhong Shan Guang Dong | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| 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 |
| Nan Shan Intl Co Ltd | Fl 14 No 223 Nanking E Rd Sec 5, Taipei Taiwan 105 | Importer of Bedding & Upholstered Furniture | 2014-08-18 ~ 2015-04-30 |
| Shan Corp | Fast Food Mart, Milford, CT 06460 | Non Legend Drug Permit | ~ 1995-12-31 |
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| 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).