JEFFREY T SHELTON
Physician/surgeon


Address: 12 Chiltern St., Farmington, CT 06032

JEFFREY T SHELTON (Credential# 563159) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

JEFFREY T SHELTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045577. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 12 Chiltern St., Farmington, CT 06032. The current status is active.

Basic Information

Licensee Name JEFFREY T SHELTON
Credential ID 563159
Credential Number 1.045577
Credential Type Physician/Surgeon
Business Address 12 Chiltern St.
Farmington
CT 06032
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2007-06-26
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-02-14

Other licenses

ID Credential Code Credential Type Issue Term Status
476873 CSP.0041898 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-07-18 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 12 Chiltern St.
City Farmington
State CT
Zip Code 06032

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Competitor

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City Farmington
Zip Code 06032
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Farmington

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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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