JOSEPH D SHEA MD (Credential# 447298) 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.
JOSEPH D SHEA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040294. 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 5175 Jerry Tarkanian Way Unit 21308, Las Vegas, NV 89148-0015. The current status is active.
| Licensee Name | JOSEPH D SHEA MD |
| Credential ID | 447298 |
| Credential Number | CSP.0040294 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
5175 Jerry Tarkanian Way Unit 21308 Las Vegas NV 89148-0015 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-11-14 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 565185 | 1.047603 | Physician/Surgeon | 2009-04-22 | 2019-09-01 - 2020-08-31 | ACTIVE |
| Street Address | 5175 JERRY TARKANIAN WAY UNIT 21308 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148-0015 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Norma V B Maderazo | 23 Perennial Border Court, Las Vegas, NV 89148 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Damien Monte Edwards | 348 Aqua Springs Road, Las Vegas, NV 89148 | Gsp Class Ia Technician | 2020-05-01 ~ 2020-10-31 |
| Jessica Hollowood | 9910 Visa Meadows, Las Vegas, NV 89148 | Gsp Class Ia Technician | 2020-04-21 ~ 2020-10-31 |
| Jessica Hollowood | 9910 Vista Meadows, Las Vegas, NV 89148 | Gsp Class Ia Technician | 2020-04-21 ~ 2020-10-31 |
| Colin Chapman | 8846 Promised Land Ave, Las Vegas, NV 89148 | Home Improvement Salesperson | 2019-12-01 ~ 2020-11-30 |
| Zak Musallam | 281 Rusty Plank Ave, Las Vegas, NV 89148 | Home Improvement Salesperson | 2019-12-01 ~ 2020-11-30 |
| Ian Forrest Banks | 512 Eagle Glen Road, Las Vegas, NV 89148 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Deborah Wurtzel | 9761 Silver Desert Ave., Las Vegas, NV 89148 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Jonathan A Keel | 9664 Gentle Spirit Dr., Las Vegas, NV 89148 | Pharmacist | 2016-02-01 ~ 2018-01-31 |
| James Marcus Naramore | 2777 W Maue Ave #2114, Las Vegas, NV 89148 | Home Improvement Salesperson | 2016-07-25 ~ 2016-11-30 |
| Find all Licenses in zip 89148 | |||
| City | LAS VEGAS |
| Zip Code | 89148 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LAS VEGAS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen J Phelan Md | 2 Shea Dr., Pawcatuck, CT 06379 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| William P Shea IIi | 78 Robeth Ln, Wethersfield, CT 06109-3552 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kerry M Phelan | 2 Shea Dr, Pawcatuck, CT 06379-2234 | Controlled Substance Registration for Practitioner | 2019-03-13 ~ 2021-02-28 |
| Peter H Shea Md | 93 W Town St, Norwich, CT 06360 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Peter O'shea Dds | 111 Reef Road, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeremiah T Shea Dpm | 302 Captians Walk, New London, CT 06320 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Michael H O'shea | 2150 Main St, Springfield, MA 01104-3566 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lisa Shea | 82 New Park Ave, North Franklin, CT 06254-1807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shea C. Gregg | 16 Surrey Lane, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Dana W O'shea Md | 39 Cornwall Lane, Guilford, CT 06437-1669 | Controlled Substance Registration for Practitioner | 1994-11-15 ~ 1996-12-01 |
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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).