GARY N SHIELDS DPM
Podiatrist


Address: 340 Bantam Rd Ste 1-b, Litchfield, CT 06759-3318

GARY N SHIELDS DPM (Credential# 699257) is licensed (Podiatrist) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.

Business Overview

GARY N SHIELDS DPM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #19.000820. The credential type is podiatrist. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 340 Bantam Rd Ste 1-b, Litchfield, CT 06759-3318. The current status is active.

Basic Information

Licensee Name GARY N SHIELDS DPM
Credential ID 699257
Credential Number 19.000820
Credential Type Podiatrist
Business Address 340 Bantam Rd Ste 1-b
Litchfield
CT 06759-3318
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2007-05-11
Effective Date 2020-02-01
Expiration Date 2021-01-31
Refresh Date 2020-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
500362 CSP.0043367 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-04-23 2017-03-01 - 2019-02-28 LAPSED

Office Location

Street Address 340 BANTAM RD STE 1-B
City LITCHFIELD
State CT
Zip Code 06759-3318

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Lisa Ann Partrick 190 West Street, Litchfield, CT 06759 Notary Public Appointment 2020-07-01 ~ 2025-06-30
Debra A Majeske · Cooper 230 Blue Swamp Road, Litchfield, CT 06759 Licensed Clinical Social Worker 2020-08-01 ~ 2021-07-31
Tilden Seafood LLC 174 West St, Litchfield, CT 06759 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Cassandra Leigh Ganio 93 Headquarters Road, Litchfield, CT 06759 Master's Level Social Worker 2020-06-01 ~ 2021-05-31
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Competitor

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City LITCHFIELD
Zip Code 06759
License Type Podiatrist
License Type + County Podiatrist + LITCHFIELD

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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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