EDWARD SHALTS (Credential# 552777) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2009. The license expiration date date is October 31, 2010. The license status is INACTIVE.
EDWARD SHALTS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035184. The credential type is physician/surgeon. The effective date is November 1, 2009. The expiration date is October 31, 2010. The business address is 20 Roden Way, Closter, NJ 07624. The current status is inactive.
Licensee Name | EDWARD SHALTS |
Credential ID | 552777 |
Credential Number | 1.035184 |
Credential Type | Physician/Surgeon |
Business Address |
20 Roden Way Closter NJ 07624 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1996-04-12 |
Effective Date | 2009-11-01 |
Expiration Date | 2010-10-31 |
Refresh Date | 2011-02-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
791339 | 9.001242 | Homeopathic Physician | 2001-11-07 | 2009-11-01 - 2010-10-31 | INACTIVE |
282893 | CSP.0031181 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE | |
168524 | CSP.0024247 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-03-01 - 1999-02-28 | INACTIVE |
Street Address | 20 Roden Way |
City | Closter |
State | NJ |
Zip Code | 07624 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael M Guarnaccia | 4 Lindeman Ave., Closter, NJ 07624 | Physician/surgeon | 2020-05-15 ~ 2020-09-30 |
Steven J Roland | 10 Auryansen Ct, Closter, NJ 07624 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
Joseph J Corrado | 2 Taylor Drive, Closter, NJ 07624 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Ajay N Desai | 115 Macarthur Ave, Closter, NJ 07624 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Hong J. Kim | 8 Walker Ave, Closter, CT 07624 | Registered Nurse | 2019-12-09 ~ 2020-08-31 |
Bongho Gwak · Intelligraph Inc | 175 Demarest Ave, Closter, NJ 07624 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
Rashmi Dubey Md | 187 Piermont Rd., Closter, NJ 07624 | Physician/surgeon | 2018-06-01 ~ 2019-05-31 |
Conrad J Roncati Jr | 430 Homans Ave, Closter, NJ 07624 | Architect | 2019-08-01 ~ 2020-07-31 |
Chansoo Hah | 237 Cedar Lane, Closter, NJ 07624 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Realistic Construction Management LLC | 195 Schraalenburgh Road, Closter, NJ 07624 | Home Improvement Contractor | 2002-12-01 ~ 2003-11-30 |
Find all Licenses in zip 07624 |
City | Closter |
Zip Code | 07624 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + Closter |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Edward A Eisenberg | Edward A Eisenberg, Md, Facep, Pawcatuck, CT 06379 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Jonathan Edward Scott | CT | Physician/surgeon | ~ |
Edward R Harvey Jr | Po Box 243, Seymour, CT 06483 | Physician/surgeon | 1993-01-25 ~ 1994-01-31 |
Edward H Yu | 799 Ridgewood Rd, Millburn, NJ 07041-1541 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
Edward J Day | 993 Racebrook Rd., Woodbridge, CT 06525 | Physician/surgeon | 2010-08-01 ~ 2011-07-31 |
Edward C Mattison | 14 Mendota Ave, Rye, NY 10580-1608 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Edward J Nejat | 115 E 57th St Ste 500, New York, NY 10022-2410 | Physician/surgeon | 2019-09-09 ~ 2020-07-31 |
Dmitriy Kireyev | 28 Edward Dr, Winchester, MA 01890-3601 | Physician/surgeon | 2015-11-27 ~ 2016-06-30 |
Edward A Felder | 53 Contentment Is. Rd., Darien, CT 06820 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
Edward Carew | Carenow Corporate, Coppell, TX 75019 | Physician/surgeon | ~ |
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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).