EDWARD SHEPPARD MD (Credential# 541355) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2012. The license expiration date date is March 31, 2013. The license status is INACTIVE.
EDWARD SHEPPARD MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015101. The credential type is physician/surgeon. The effective date is April 1, 2012. The expiration date is March 31, 2013. The business address is Three Alpine Lane, Westport, CT 06880. The current status is inactive.
| Licensee Name | EDWARD SHEPPARD MD |
| Credential ID | 541355 |
| Credential Number | 1.015101 |
| Credential Type | Physician/Surgeon |
| Business Address |
Three Alpine Lane Westport CT 06880 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1971-07-08 |
| Effective Date | 2012-04-01 |
| Expiration Date | 2013-03-31 |
| Refresh Date | 2013-07-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 149715 | CSP.0003777 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | THREE ALPINE LANE |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sherry M Sheppard | 451 Heywood Ave, Orange, NJ 07050-2006 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Lisa M Sheppard | 31 Park Hill Terrace, Princeton Jct, NJ 08550 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jeffrey J Sheppard · Sheppard Tavern & Restaurant | 556 Boston Post Road, Guilford, CT 06437 | Restaurant Liquor | 2000-01-31 ~ 2001-01-30 |
| Gary W Sheppard · G W Sheppard Remodeling Plus | Po Box 414, New London, CT 06320 | Home Improvement Contractor | 2005-12-01 ~ 2006-11-30 |
| Jeffrey J Sheppard · Sheppard's Tavern | 5 Water St, Guilford, CT 06437-2861 | Cafe Liquor | 2019-12-29 ~ 2021-04-28 |
| Isaac Sheppard Jr · Sheppard Engineering | 1030 W Elmwood, Clawson, MI 48017 | Professional Engineer | 1987-02-03 ~ 1988-01-31 |
| Edward T Sheppard | 8 Melcon Drive, Southington, CT 06489 | Notary Public Appointment | 2007-05-01 ~ 2012-04-30 |
| Edward A Eisenberg | Edward A Eisenberg, Md, Facep, Pawcatuck, CT 06379 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jonathan Edward Scott | CT | Physician/surgeon | ~ |
| Edward C Mattison | 14 Mendota Ave, Rye, NY 10580-1608 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on EDWARD SHEPPARD MD.
| 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).