BERNARD S SHAPIRO
Physician/surgeon


Address: 22 Westfield Ave, Ansonia, CT 06401

BERNARD S SHAPIRO (Credential# 540116) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 13, 1995. The license expiration date date is January 31, 1997. The license status is INACTIVE.

Business Overview

BERNARD S SHAPIRO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.011758. The credential type is physician/surgeon. The effective date is November 13, 1995. The expiration date is January 31, 1997. The business address is 22 Westfield Ave, Ansonia, CT 06401. The current status is inactive.

Basic Information

Licensee Name BERNARD S SHAPIRO
Credential ID 540116
Credential Number 1.011758
Credential Type Physician/Surgeon
Business Address 22 Westfield Ave
Ansonia
CT 06401
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1964-06-03
Effective Date 1995-11-13
Expiration Date 1997-01-31
Refresh Date 2009-07-08

Other licenses

ID Credential Code Credential Type Issue Term Status
149475 CSP.0000809 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1995-03-29 - 1996-02-28 INACTIVE

Office Location

Street Address 22 WESTFIELD AVE
City ANSONIA
State CT
Zip Code 06401

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Harold M Schwartz 22 Westfield Ave, Ansonia, CT 06401 Physician/surgeon 2020-03-01 ~ 2021-02-28
Bruce T Brennan Md 22 Westfield Ave, Ansonia, CT 06401 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Jonathan T Simon Md 22 Westfield Ave, Ansonia, CT 06401-1158 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Jeffrey T. Dreznick Md 22 Westfield Ave, Ansonia, CT 06401-1158 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Myung W Choi Md 22 Westfield Ave, Ansonia, CT 06401 Physician/surgeon 2004-02-09 ~ 2005-03-31

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Christi Lynn Crumb 73 Woodbridge Ave, Ansonia, CT 06401 Notary Public Appointment 2020-04-09 ~ 2025-04-30
Maureen E Witzmann 68 Granite Terrace, Ansonia, CT 06401 Registered Nurse 2020-07-01 ~ 2021-06-30
Anthony Wayne Md 20 Westfield Avenue, Ansonia, CT 06401 Physician/surgeon 2020-09-01 ~ 2021-08-31
Raymond P Ragaini 30 Winter Street, Ansonia, CT 06401 Notary Public Appointment 2017-07-01 ~ 2022-06-30
Margaret Rivera 34 Church Street, Ansonia, CT 06401 Notary Public Appointment 2020-10-01 ~ 2025-09-30
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Competitor

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City ANSONIA
Zip Code 06401
License Type Physician/Surgeon
License Type + County Physician/Surgeon + ANSONIA

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Howard R Shapiro 36 Ashton Circle, Simsbury, CT 06070 Physician/surgeon 2008-11-24 ~ 2010-01-31
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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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