SHAHEENA SHAN (Credential# 557275) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
SHAHEENA SHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039691. The credential type is physician/surgeon. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 39 Maple Hill Avenue, Newington, CT 06111. The current status is active.
| Licensee Name | SHAHEENA SHAN |
| Credential ID | 557275 |
| Credential Number | 1.039691 |
| Credential Type | Physician/Surgeon |
| Business Address |
39 Maple Hill Avenue Newington CT 06111 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-07-03 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-10-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 341094 | CSP.0033707 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE |
| Street Address | 39 MAPLE HILL AVENUE |
| City | Newington |
| State | CT |
| Zip Code | 06111 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | Newington |
| Zip Code | 06111 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Newington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shaheena Shan Md | 39 Maple Hill Ave, Newington, CT 06111-2720 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eldy Pet Fashion (kun Shan) Co Ltd | No240 Beiyuan Road Dian Shan Lake, Kunshan Jiangsu, 215345 | Manufacturer of Bedding & Upholstered Furniture | 2008-07-30 ~ 2009-04-30 |
| Shan M Jeffcoat | 6 Smith St Apt 1, Pawcatuck, CT 06379 | Home Improvement Contractor | ~ 1995-12-01 |
| Shan Wei Shi Hangway Handbag Manufacturing Co Ltd | Shan Wei Shi Cheng Qu Ma Gong Zhen, Guangdong, 516600 | Manufacturer of Bedding & Upholstered Furniture | 2016-05-01 ~ 2017-04-30 |
| Kuo Ching (he Shan) Company Limited | Pu Tang Ind Shuang He Town, He Shan City, 529735 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Lerado (zhong Shan) Industrial Co Ltd | No 202 Kui Xin Rd Dong Sheng Town, Zhong Shan Guang Dong | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Shan Corp | Fast Food Mart, Milford, CT 06460 | Non Legend Drug Permit | ~ 1995-12-31 |
| Nan Shan Intl Co Ltd | Fl 14 No 223 Nanking E Rd Sec 5, Taipei Taiwan 105 | Importer of Bedding & Upholstered Furniture | 2014-08-18 ~ 2015-04-30 |
| Shan Dollar | 893 Maple Ave, Hartford, CT 06114-2330 | Lottery Sales Agent | 2015-04-01 ~ 2016-03-31 |
| Shan Parikh | 25 Oakridge Ln, Milford, CT 06461 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
Please comment or provide details below to improve the information on SHAHEENA SHAN.
| 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).