MYRON E SHAFER MD (Credential# 538738) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2015. The license expiration date date is December 31, 2015. The license status is INACTIVE.
MYRON E SHAFER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.006821. The credential type is physician/surgeon. The effective date is January 1, 2015. The expiration date is December 31, 2015. The business address is 13608 Verde Dr, Palm Beach Gardens, FL 33410-1240. The current status is inactive.
Licensee Name | MYRON E SHAFER MD |
Credential ID | 538738 |
Credential Number | 1.006821 |
Credential Type | Physician/Surgeon |
Business Address |
13608 Verde Dr Palm Beach Gardens FL 33410-1240 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1951-12-12 |
Effective Date | 2015-01-01 |
Expiration Date | 2015-12-31 |
Refresh Date | 2016-04-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
149440 | CSP.0001483 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE |
Street Address | 13608 VERDE DR |
City | PALM BEACH GARDENS |
State | FL |
Zip Code | 33410-1240 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joanne A Cerreta | 1308 Sonoma Court, Palm Beach Gardens, FL 33410 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
Lucia D Breault | 2720 Donald Ross Road, Palm Beach Gardens, FL 33410 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Marianne Toutoungi | 344 Chambord Terr, Palm Beach Gardens, FL 33410 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Ajay Focus Fund, Lp | 3801 Pga Blvd, Ste 600, Palm Beach Gardens, FL 33410 | Securities - Exemptions | 2020-03-11 ~ |
Diane L Cashman | 246 Kelsey Park Circle, Palm Beach Gardens, FL 33410 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Deborah D Cole | 14378 Cypress Island Circle, Palm Beach Gardens, FL 33410 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Judith S Magalhaes | 1132 Vintner Blvd, Palm Beach Gardens, FL 33410 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Kathleen M Hul | 3853 Bahama Rd, Palm Bch Gardens, FL 33410 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Palm Beach Pharmaceuticals Inc | 8409 N Military Trail #125, Palm Beach Gardens, FL 33410 | Nonresident Pharmacy | 2019-09-20 ~ 2020-08-31 |
Allmed Rx Specialty Pharmacy | 10358 Riverside Dr. Suite 140, Palm Beach Gardens, FL 33410 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
Find all Licenses in zip 33410 |
City | PALM BEACH GARDENS |
Zip Code | 33410 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + PALM BEACH GARDENS |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Donald M Shafer Md | 3 Elmwood Lane, Westport, CT 06880 | Physician/surgeon | 2000-09-19 ~ 2001-06-30 |
David Michael Shafer | 535 Fifth Avenue, New York, NY 10017 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Kadim V Satyanarayana | 15 S Shafer St Apt 2001, Athens, OH 45701-2790 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Mark R Shafer | 2 Loading Rock Road, Riverside, CT 06878 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Myron E Freedman Md | 27 Adams Rd, Bloomfield, CT 06002 | Physician/surgeon | 2007-07-05 ~ 2008-06-30 |
Lyla Janeil Correoso-thomas | 6400 Shafer Ct Ste 700, Rosemont, IL 60018-4989 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Myron I Buchman | 117 East 72nd St, New York, NY 10021 | Physician/surgeon | 2016-10-01 ~ 2017-09-30 |
Myron Brand Md | 40 Temple St, Suite 4a, New Haven, CT 06510 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Myron L Glucksman | 68 Marchant Road, West Redding, CT 06896 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Myron B Harmaty | 6740 Honors Court, Charlotte, NC 28210 | Physician/surgeon | 1995-07-21 ~ 1996-09-30 |
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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).