BRYAN C SHELBY MD (Credential# 520858) 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.
BRYAN C SHELBY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044920. 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 950 Campbell Ave, West Haven, CT 06516. The current status is active.
| Licensee Name | BRYAN C SHELBY MD |
| Credential ID | 520858 |
| Credential Number | CSP.0044920 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
950 Campbell Ave West Haven CT 06516 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-12-08 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 564275 | 1.046693 | Physician/Surgeon | 2008-06-25 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 950 Campbell Ave |
| City | West Haven |
| State | CT |
| Zip Code | 06516 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew H Zegarek | 950 Campbell Ave, West Haven, CT 06516 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Henry J Taylor Iv | 950 Campbell Ave, West Haven, CT 06516-2770 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
| Brittany L Hervey | 950 Campbell Ave, West Haven, CT 06516-2770 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
| Asim Farooq Durrani | 950 Campbell Ave, West Haven, CT 06516-2770 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Maureen Mccamley | 950 Campbell Ave, West Haven, CT 06516 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Lisa Parikh | 950 Campbell Ave, West Haven, CT 06516-2770 | Resident Physician | 2013-06-27 ~ 2021-06-30 |
| Sarah A Nguyen | 950 Campbell Ave, West Haven, CT 06516 | Resident Physician | 2016-07-27 ~ 2021-06-30 |
| Shuba Rodrigues Md | 950 Campbell Ave, West Haven, CT 06516-2770 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Ervin A Jakab | 950 Campbell Ave, West Haven, CT 06516 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jitendranath Lakshmipathy Do | 950 Campbell Ave, West Haven, CT 06516-2770 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | West Haven |
| Zip Code | 06516 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + West Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hinette Shelby Rosario | 20 York St Rm 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-06-07 ~ 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 |
| Shelby Rimetz | 408 Trails End Road, Manchester, CT 06042 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shelby Galloway Md | 12709 Willow Point Dr, Fredericksburg, VA 22408 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Bryan Too | 4k Staunton Ct, Farmington, CT 06032-3622 | Controlled Substance Registration for Practitioner | 2013-07-29 ~ 2015-02-28 |
| Bryan S Jay Md | 9 Harbour Rd, Barrington, RI 02806-4410 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bryan P Blair | 382 Bedford Rd, Chappaqua, NY 10514-2211 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bryan S Jeun | 435 E 70th St Apt 13g, New York, NY 10021-5343 | Controlled Substance Registration for Practitioner | 2013-07-08 ~ 2015-02-28 |
| Bryan Kerner | 333 Cedar St Tmp 3, New Haven, CT 06510-3206 | Controlled Substance Registration for Practitioner | ~ |
| Maureen Pawlak Pa | 25 Bryan Rd, Branford, CT 06405 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).