SHANTELL S. WRAY (Credential# 1002599) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2019. The license status is LAPSED.
SHANTELL S. WRAY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0050482. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2017. The expiration date is February 28, 2019. The business address is 49 Hooker Rd, Bridgeport, CT 06610-1313. The current status is lapsed.
| Licensee Name | SHANTELL S. WRAY |
| Credential ID | 1002599 |
| Credential Number | CSP.0050482 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
49 Hooker Rd Bridgeport CT 06610-1313 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2011-06-21 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 947201 | 23.002435 | Physician Assistant | 2010-08-05 | 2017-02-01 - 2018-01-31 | INACTIVE |
| Street Address | 49 HOOKER RD |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-1313 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Catherine Parker | 85 Hooker Rd, Bridgeport, CT 06610-1313 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Alana D Hudson | 75 Hooker Rd, Bridgeport, CT 06610-1313 | Emergency Medical Technician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nilca Janice Cardenales | 66 Rose St, Bridgeport, CT 06610 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Kiara Lizbeth Corporan | 10 Sturtevant Pl, Bridgeport, CT 06610 | Eyelash Technician | ~ |
| Alisha Garcia | 65 Berkeley Place, Bridgeport, CT 06610 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Pauline Parkes | 96 Virginia Avenue, Bridgeport, CT 06610 | Licensed Clinical Social Worker | ~ |
| Denise Reyes | 1125 Huntington Turnpike, Bridgeport, CT 06610 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Avery M Rilley | 80 Granfield Avenue, Bridgeport, CT 06610 | Pharmacy Technician | 2020-06-25 ~ 2021-03-31 |
| Bozena K. Malyszko | Bridgeport Hospital, Bridgeport, CT 06610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Amy Espinosa | 146 Court D, Bridgeport, CT 06610 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Wilhelmina Jackson · Thomas | 172 Court D, Bridgeport, CT 06610 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emma Agyeiwaa Vaczek | P.o Box 5223, Bridgeport, CT 06610 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06610 | |||
| City | BRIDGEPORT |
| Zip Code | 06610 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin R Wray Dvm | 35 Crescent St, Meriden, CT 06450-5770 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelene R Wray | 474 Cowperthwaite St, Danbury, CT 06811 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| J.wray Silver | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-04-08 ~ 2021-08-01 |
| J.wray Gold | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-04-08 ~ 2021-08-01 |
| Wray and Nephew Rum Cream | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2013-03-13 ~ 2016-03-12 |
| Wray & Nephew White Overproof Rum | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-03-14 ~ 2022-03-10 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
Please comment or provide details below to improve the information on SHANTELL S. WRAY.
| 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).