ELLYN SHANDER MD (Credential# 545199) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is APPROVED.
ELLYN SHANDER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.024821. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 1933 Long Ridge Rd, Stamford, CT 06903. The current status is approved.
| Licensee Name | ELLYN SHANDER MD |
| Credential ID | 545199 |
| Credential Number | 1.024821 |
| Credential Type | Physician/Surgeon |
| Business Address |
1933 Long Ridge Rd Stamford CT 06903 |
| Business Type | INDIVIDUAL |
| Status | APPROVED - CURRENT |
| Active | 1 |
| Issue Date | 1983-08-11 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 149468 | CSP.0012085 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1933 LONG RIDGE RD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06903 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian Irizarry · Irizarry Masonry | 140 Red Fox Rd, Stamford, CT 06903 | Home Improvement Contractor | 2020-06-27 ~ 2020-11-30 |
| Byongran Min | 60 Larkspur Rd, Stamford, CT 06903 | Nail Technician | ~ |
| Mark D Creedon | 155 Woodchuck Rd, Stamford, CT 06903 | Architect | 2020-08-01 ~ 2021-07-31 |
| Genna L Meier | 340 Webbs Hill Road, Stamford, CT 06903 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Elizabeth A Porcheddu | 367 Briar Brae Road, Stamford, CT 06903 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Sarah Elizabeth Woxholdt | 65 Cousins Rd, Stamford, CT 06903 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cynthia L Castronovo-morabito · Lovallo/cameron | 37 Gutzon Borglum Rd, Stamford, CT 06903 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Michele1 Sukatski | 61 Shady Ln, Stamford, CT 06903 | Medication Administration Certification | ~ |
| Joan M Bellantoni | 239 Fishing Trail, Stamford, CT 06903 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Jennifer L Gressin-rybalov | 26 Briar Brae Road, Stamford, CT 06903 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06903 | |||
| City | STAMFORD |
| Zip Code | 06903 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Aryeh Shander | 12 Lois Avenue, Demarest, NJ 07627 | Physician/surgeon | 2012-11-01 ~ 2013-10-31 |
| Jill Ellyn Zafar | 51 Old Hyde Rd, Weston, CT 06883 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Ellyn Marie Connelly | 1240 St James Pl, Glen Ellyn, IL 60137 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ellyn Cooper's Yarn Sonnets | 135 Hanover-versailles Rd, Sprauge, CT 06330 | Operator of Weighing & Measuring Devices | 2019-08-01 ~ 2020-07-31 |
| Elyse A Shander | 53 Farrell Road, Newtown, CT 06470 | Notary Public Appointment | 1997-05-22 ~ 2002-05-31 |
| Ellyn D'onofrio | 115 Wetmore Ave., Winsted, CT 06098 | Optician Apprentice | 2002-09-10 ~ 2003-08-31 |
| Ellyn H Nilsen | 2 Fox Ln, Westport, MA 02790-1635 | Physical Therapist | 2018-10-01 ~ 2019-09-30 |
| Ellyn M Higgins | 135 Ridge Rd, Madison, CT 06443 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Ellyn M Eisenberg | P.o. Box 4701, Danbury, CT 06813 | Professional Counselor | 2007-03-30 ~ 2008-03-31 |
| Ellyn C Phair | 52 Red Maple Ln, Levittown, PA 19055-1407 | Registered Nurse | 2014-11-01 ~ 2015-10-31 |
Please comment or provide details below to improve the information on ELLYN SHANDER 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).