SALLY E SHAYWITZ MD (Credential# 542094) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
SALLY E SHAYWITZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016842. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is Dept of Pediatrics, New Haven, CT 06520-8064. The current status is active.
| Licensee Name | SALLY E SHAYWITZ MD |
| Credential ID | 542094 |
| Credential Number | 1.016842 |
| Credential Type | Physician/Surgeon |
| Business Address |
Dept of Pediatrics New Haven CT 06520-8064 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1974-08-15 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163172 | CSP.0022901 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | DEPT OF PEDIATRICS |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06520-8064 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Eda Cengiz Md | Dept of Pediatrics, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| M Susan Moyer Md · Yale Univ School of Medicine | Dept of Pediatrics, New Haven, CT 06520-8064 | Physician/surgeon | 2002-12-24 ~ 2004-02-29 |
| Richard B Johnston Jr | Dept of Pediatrics, New Haven, CT 06520 | Physician/surgeon | 1998-06-26 ~ 1999-08-31 |
| Yale School of Medicine · Mary Susan Moyer Md | Dept of Pediatrics, New Haven, CT 06520 | Controlled Substance Laboratory | 1997-04-17 ~ 1998-01-31 |
| David Bachman Md · Yale University | Dept of Pediatrics, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 1994-06-24 ~ 1996-07-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erin A Nozetz | Pediatrics/yale University, New Haven, CT 06520-8064 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| William V Tamborlane Jr | Yale Univ Sch of Med, New Haven, CT 06520-8064 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Bennett A Shaywitz | Yale Univ School of Medicine, New Haven, CT 06520-8064 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Thomas O Carpenter Md | Yale Univ Sch of Med Dept of Pediatrics, New Haven, CT 06520-8064 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Robert W Elder | Po Box 208064, New Haven, CT 06520-8064 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Matthew J Bizzarro Md | Peds - 333 Cedar Street, New Haven, CT 06520-8064 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Naila Makhani | Section of Pediatric Neurology, New Haven, CT 06520-8064 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Richard A Ehrenkranz | Department of Pediatrics, New Haven, CT 06520-8064 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Jose M. Panisello Monjo | Dept. of Pediatrics/critical Care Medicine, New Haven, CT 06520-8064 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Joseph M Mcnamara Md | 333 Cedar Street, Lmp 2073, New Haven, CT 06520-8064 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Find all Licenses in zip 06520-8064 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Orchestra New England | P.o. Box 200123, New Haven, CT 06520 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Catherine A Dinauer | 333 Cedar St., Fmb 131, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kofi Agyare Mensah | 300 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kevin Huang | 330 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dr Akhil Khosla | 300 Cedar St, Tac S425 P.o. Box 208057, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Scott N Gettinger Md | 333 Cedar St-yale Cancer Center, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lindsay Sarah Mcalpine | Yale -new Haven Hospital, New Haven, CT 06520 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael Hurwitz | 333 Cedar St Www211, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Patrick M Popiel | Yale University, Department of Ob/gyn, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06520 | |||
| City | NEW HAVEN |
| Zip Code | 06520 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bennett A Shaywitz | Yale Univ School of Medicine, New Haven, CT 06520-8064 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sally Irons Md | 540 Saybrook Rd, Middletown, CT 06457 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sally A Rudicel | 19 Islington Rd., Auburndale, MA 02466 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
| Sally L Marchesi | 179 Prospect Ave, Guilford, CT 06437 | Physician/surgeon | 1997-02-13 ~ 1998-04-30 |
| Sally S Chao Md | 48 Saint Johns Rd, Wilton, CT 06897 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Sally Crawford | 13 Clark Lane, Essex, CT 06426 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Sally R Bergwerk | 35 Old Ridgefield Road, Wilton, CT 06897 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sally A Ardolino | 12 Thomas Drive, Scarborough, ME 04074 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
| Sally C Guimaraes | 9 Estes Drive, Freeport, ME 04032 | Physician/surgeon | 1993-08-25 ~ 1994-09-30 |
| Sally Tanakchi | 5225 Pooks Hill Rd, Bethesda, MD 20814 | Physician/surgeon | 2018-12-24 ~ 2019-11-30 |
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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).