DOUGLAS P SHORE (Credential# 544922) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2014. The license expiration date date is February 28, 2015. The license status is INACTIVE.
DOUGLAS P SHORE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.024260. The credential type is physician/surgeon. The effective date is March 1, 2014. The expiration date is February 28, 2015. The business address is 5 Durham Road, Guilford, CT 06437. The current status is inactive.
| Licensee Name | DOUGLAS P SHORE |
| Credential ID | 544922 |
| Credential Number | 1.024260 |
| Credential Type | Physician/Surgeon |
| Business Address |
5 Durham Road Guilford CT 06437 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL; PRIOR DISCIPLINE |
| Issue Date | 1983-01-03 |
| Effective Date | 2014-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2017-09-23 |
| Street Address | 5 Durham Road |
| City | Guilford |
| State | CT |
| Zip Code | 06437 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth S Craig | 5 Durham Road, Guilford, CT 06437 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jodi E Indes Md | 5 Durham Road, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gary J Price | 5 Durham Road, Guilford, CT 06437-0368 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jessica A Sedita-gatto | 5 Durham Road, Guilford, CT 06437 | Naturopathic Physician | 2020-01-01 ~ 2020-12-31 |
| Guilford Surgery Center, LLC | 5 Durham Road, Guilford, CT 06437 | Out-patient Surgical Facility | 2015-04-24 ~ 2017-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jane E Olsen | Po Box 601, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| Alanna Munzenmaier | 81 Saw Mill Rd, Guilford, CT 06437 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Sandra L Lion | 84 Granite Road, Guilford, CT 06437 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Nimet H Memik-moavero | 110 Cherry Street, Guilford, CT 06437 | Real Estate Salesperson | ~ |
| Jacklyn Nicole Basilicato | 345 Saw Mill Road, Guilford, CT 06437 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alissa Bailey | 5 Streamview Circle, Guilford, CT 06437 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| The Marketplace Emporia LLC · The Marketplace Emporia, LLC | 77-79 Whitfield Street, Guilford, CT 06437 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Deborah Ackles | 46clear Lake Manor Road, Guilford, CT 06437 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Bruce D Mccann | 200 State St, Guilford, CT 06437 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stephanie J Jacobs | 130 Winthrop Rd, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Find all Licenses in zip 06437 | |||
| City | Guilford |
| Zip Code | 06437 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Guilford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juli Dean Md | C/o Douglas Shore, Guilford, CT 06437 | Physician/surgeon | 1997-07-15 ~ 1998-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Scott Adam Hopkins | 99 S Clinton Ave, Bay Shore, NY 11706 | Physician/surgeon | ~ |
| Maury A Jayson | P.o. Box 5431, Bay Shore, NY 11706 | Physician/surgeon | 2003-02-24 ~ 2004-03-31 |
| Asha Qusba | 44 E Shore Rd, Ellington, CT 06029-3114 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Kevin C Neilson | 205 Shore Ave., Groton, CT 06340 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Sanford W Harvey | 101 Shore Dr, Higganum, CT 06441 | Physician/surgeon | 2000-03-15 ~ 2001-05-31 |
| Donald W Samson | 46 Shore Rd, Niantic, CT 06357-3505 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Peter T Auerbach | 138 Shore Ave, Groton, CT 06340-5917 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Walter Pinsker | 649 Montauk Hwy, Bay Shore, NY 11706 | Physician/surgeon | 1992-04-24 ~ 1993-03-31 |
Please comment or provide details below to improve the information on DOUGLAS P SHORE.
| 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).