GREGORY P SHIELDS (Credential# 549168) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
GREGORY P SHIELDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.031425. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 172 Hayden Hill Rd, Haddam, CT 06438. The current status is active.
| Licensee Name | GREGORY P SHIELDS |
| Credential ID | 549168 |
| Credential Number | 1.031425 |
| Credential Type | Physician/Surgeon |
| Business Address |
172 Hayden Hill Rd Haddam CT 06438 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1991-03-22 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 158329 | CSP.0018939 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 172 HAYDEN HILL RD |
| City | HADDAM |
| State | CT |
| Zip Code | 06438 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William E Buganski | 19 Ruth Hill Road, Haddam, CT 06438 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Alma Sabovic | 55 Hubbard Rd, Haddam, CT 06438 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Vera K Davidson | 47 Dickinson Road, Haddam, CT 06438 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Rachel E Decker | 377 Plains Rd, Haddam, CT 06438 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Joyce P Houska | 1 Filley Road, Haddam, CT 06438 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Cooking Company (the) | 1610 Saybrook Rd, Haddam, CT 06438 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Creative Cakes By Donna | Route 154, Haddam, CT 06438 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Susan A Shea | 81 Walkley Hill Road, Haddam, CT 06438 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Heather K Marica | 107 Old Cart Road, Haddam, CT 06438 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sarah F Arseneault | 95 Cedar Lake Road, Haddam, CT 06438 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06438 | |||
| City | HADDAM |
| Zip Code | 06438 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HADDAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gregory Scott Shields | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2017-04-01 ~ 2018-03-31 |
| Dmitriy Mikhailovich Golovyan | 48 Shields Lane, Riddgefield, CT 06877 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shields Enterprises Inc | 15 Chapin St, Ludlow, MA 01056 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
| Gregory C Cadman | 7 Lighthouse Ln, Old Greenwich, CT 06870-2310 | Physician/surgeon | ~ |
| Gregory Isenberg Md | 580 Farmington Ave, Hartford, CT 06105-3050 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Gregory Jay Pomper Md | 155 Treadwell St, Hamden, CT 06517 | Physician/surgeon | 2001-05-18 ~ 2002-05-31 |
| Gregory S Azia Md | 399 Ocean Ave, New London, CT 06320 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Gregory K Russo | 67 Lords Hwy, Weston, CT 06883-1714 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Gregory Slachta Md | 222 Carew St, Springfield, MA 01104 | Physician/surgeon | 1997-01-13 ~ 1998-03-31 |
| Gregory A Rutkowski Md | 44 Canterbury Rd, Berlin, CT 06037-3706 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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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).