EDWARD SHALTS
Physician/surgeon


Address: 20 Roden Way, Closter, NJ 07624

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 20 Roden Way
City Closter
State NJ
Zip Code 07624

Licenses in the same zip code

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

Competitor

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City Closter
Zip Code 07624
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Closter

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Dataset Information

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).

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