SHANNON DREW MD (Credential# 561522) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
SHANNON DREW MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043940. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 291 Whitney Ave Ste 303, New Haven, CT 06511-3764. The current status is active.
| Licensee Name | SHANNON DREW MD |
| Credential ID | 561522 |
| Credential Number | 1.043940 |
| Credential Type | Physician/Surgeon |
| Business Address |
291 Whitney Ave Ste 303 New Haven CT 06511-3764 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-11-16 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 469952 | CSP.0041452 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-05-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 380422 | CSP.0035966 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-09-22 | 2004-09-22 - 2005-02-28 | INACTIVE |
| Street Address | 291 WHITNEY AVE STE 303 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-3764 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dori Laub Md | 291 Whitney Ave Ste 302, New Haven, CT 06511-3764 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Drew J Edwards | 115 Waterbury Rd, Prospect, CT 06712-1254 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Drew K Siegel | 205 Brighton Dr, Elon, NC 27244-8306 | Physician/surgeon | 2009-10-01 ~ 2010-09-22 |
| Drew A Stein | 36 W 44th St Ste 401, New York, NY 10036-8107 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Drew Thomas Carlton | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | ~ |
| Jack M Drew | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | Physician/surgeon | ~ |
| Wendy Drew Ellis | P. O. Box 660070, Birmingham, AL 35266 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Drew Clifford Hunter | 22 Llanfair Rd Unit 6, Ardmore, PA 19003-2320 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
| Drew A Olsen | 4 Cross Creek Lane, Stony Point, NY 10980 | Physician/surgeon | 2002-04-03 ~ 2002-12-31 |
| Shannon Henning | 34 Cliff Road, Merrick, NY 11566 | Physician/surgeon | ~ |
| Shannon M Hogan Do | 185 Rye Cir, South Burlington, VT 05403-7648 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
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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).