JEFFREY K SHORNICK MD (Credential# 544532) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2014. The license expiration date date is July 31, 2015. The license status is INACTIVE.
JEFFREY K SHORNICK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.023320. The credential type is physician/surgeon. The effective date is August 1, 2014. The expiration date is July 31, 2015. The business address is 5 Alpine Vista, Grantham, NH 03753-1279. The current status is inactive.
| Licensee Name | JEFFREY K SHORNICK MD |
| Credential ID | 544532 |
| Credential Number | 1.023320 |
| Credential Type | Physician/Surgeon |
| Business Address |
5 Alpine Vista Grantham NH 03753-1279 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1982-01-22 |
| Effective Date | 2014-08-01 |
| Expiration Date | 2015-07-31 |
| Refresh Date | 2015-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 277627 | CSP.0030944 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 5 ALPINE VISTA |
| City | GRANTHAM |
| State | NH |
| Zip Code | 03753-1279 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristy Montanez | 137 Woodland Heights, Grantham, NH 03753 | Radiographer | 2020-03-01 ~ 2021-02-28 |
| Jeffrey D Walla | 201 Walker Road, Grantham, NH 03753 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Debra A Bolmer | Po Box 1437, Grantham, NH 03753 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Sandra C Besas | Po Box 1702, Grantham, NH 03753 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Greg M Grigsby | 416 Route 10 North, Grantham, NH 03753 | Landscape Architect | 2019-08-01 ~ 2020-07-31 |
| Christopher P Malloy | 164 Shedd Rd, Grantham, NH 03753 | Repairer of Weighing & Measuring Devices | 2009-01-01 ~ 2009-12-31 |
| Michael A Sbrega | P.o. Box #1867, Grantham, NH 03753 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| Jonathan C Lee | 1378 Stoney Brook Rd, Grantham, NH 03753 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| Maureen Gardella | Po Box 1709, Grantham, NH 03753 | Registered Nurse | 2015-02-01 ~ 2016-01-31 |
| James R Petrovits | P O Box 1374, Grantham, NH 03753 | Certified Public Accountant License | 2001-01-01 ~ 2001-12-31 |
| Find all Licenses in zip 03753 | |||
| City | GRANTHAM |
| Zip Code | 03753 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + GRANTHAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey J Lim | P O Box 158, Guymon, OK 73942-0158 | Physician/surgeon | 1998-03-30 ~ 1999-04-30 |
| Jeffrey T Pan Md | 41 Ironwood Rd, Guilford, CT 06437 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Jeffrey Begleiter Md | Po Box 306, Canton, CT 06019-0306 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jeffrey B Howe | P O Box 366, Eastford, CT 06242 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Jeffrey Y Ngeow | 535 E 70 St, New York, NY 10021 | Physician/surgeon | 2016-02-01 ~ 2017-01-31 |
| Jeffrey L Bobrowitz | 86 Valleywood Rd, Cos Cob, CT 06807-2321 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Jeffrey E Epstein | 25 Glenbrook Rd, Stamford, CT 06902-2871 | Physician/surgeon | ~ |
| Jeffrey Kwan | 118 Heather Dr, Atherton, CA 94027-2120 | Physician/surgeon | ~ |
| Jeffrey D Rosen | P.o. Box 558, Ludlow, VT 05149 | Physician/surgeon | 2011-03-01 ~ 2012-02-29 |
| Jeffrey L Pellenberg | 38 Sarenee Cir, Trumbull, CT 06611-1258 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).