SHANNON P MARSH (Credential# 1028047) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SHANNON P MARSH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051188. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 114 Woodland St, Hartford, CT 06105-1208. The current status is active.
| Licensee Name | SHANNON P MARSH |
| Credential ID | 1028047 |
| Credential Number | CSP.0051188 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
114 Woodland St Hartford CT 06105-1208 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-08-10 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1025503 | 23.002606 | Physician Assistant | 2011-07-26 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 848666 | 70.008933 | Emergency Medical Technician | 2007-10-15 | 2007-10-15 - 2009-07-01 | INACTIVE |
| Street Address | 114 WOODLAND ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-1208 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie M Peck | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Kaitlin M Renkosiak | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Frank I Jackson | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Diana Andres | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Kristina C Bystrak | 114 Woodland St, Hartford, CT 06105-1208 | Resident Podiatrist | 2019-06-24 ~ 2022-06-23 |
| Helen Stolyar | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
| Alexander Almeida Larrea | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
| Kenneth Bryan Keplinger | 114 Woodland St, Hartford, CT 06105-1208 | Resident Physician | 2018-06-18 ~ 2022-06-17 |
| Roxanne F Zarmsky | 114 Woodland St, Hartford, CT 06105 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Geetha P Bhumireddy Md | 114 Woodland St, Hartford, CT 06105-4318 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa M Pintoff | 114 Woodland St Ofc Casemgt, Hartford, CT 06105-1208 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Heather M Weber | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2023-06-16 |
| Saadia Zafar Md | 114 Woodland St Flr 3, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Yanbin Wang | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2020-06-29 ~ 2021-06-28 |
| Julie M Peck | 114 Woodland Street, Hartford, CT 06105-1208 | Resident Physician | 2019-06-17 ~ 2019-07-01 |
| A Proof of Concept, Open Label Prospective Pilot Study of Cannabis Use In Trauma Patients With Multi | Saint Francis Hospital and Medical Center, Hartford, CT 06105-1208 | Medical Marijuana Research Program | 2016-12-15 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | HARTFORD |
| Zip Code | 06105 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas Marsh Dvm | 212 Hillside Rd, Fairfield, CT 06824 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kendra Marsh | 129 York St Apt 6c, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2004-10-26 ~ 2005-02-28 |
| Nanci E Kaczegowicz Aprn | 44 Marsh Rd, Easton, CT 06612 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nancy G Marsh Aprn | 31 Walkley Rd, W Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
| Diane B Easter Aprn | 160 Marsh Rd, Litchfield, CT 06759 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elias J Marsh | 25 Cooper Rd, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 1993-12-28 ~ 1996-01-01 |
| James S Marsh | 800 Village Walk, Guilford, CT 06437-2762 | Controlled Substance Registration for Practitioner | 2019-05-17 ~ 2021-02-28 |
| Stacy M Marsh | 498 Wylie School Rd, Voluntown, CT 06384 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Barry Marsh Dvm | 33 Sunrise Hill Dr, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Elaine Karis Md | 26 Marsh Hill Rd, Putnam Valley, NY 10579-3103 | Controlled Substance Registration for Practitioner | 2010-02-26 ~ 2011-02-28 |
Please comment or provide details below to improve the information on SHANNON P MARSH.
| 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).