MARC J SHAPIRO (Credential# 1028327) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2018. The license expiration date date is April 30, 2019. The license status is INACTIVE.
MARC J SHAPIRO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050286. The credential type is physician/surgeon. The effective date is May 1, 2018. The expiration date is April 30, 2019. The business address is 464 Congress Ave Ste 260, New Haven, CT 06519-1362. The current status is inactive.
| Licensee Name | MARC J SHAPIRO |
| Credential ID | 1028327 |
| Credential Number | 1.050286 |
| Credential Type | Physician/Surgeon |
| Business Address |
464 Congress Ave Ste 260 New Haven CT 06519-1362 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-09-02 |
| Effective Date | 2018-05-01 |
| Expiration Date | 2019-04-30 |
| Refresh Date | 2019-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1033551 | CSP.0051414 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-09-19 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 464 CONGRESS AVE STE 260 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1362 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolyn Rambus Md | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Emergency Medical Technician | 2019-04-18 ~ 2022-03-31 |
| Kevin Burns | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Ani Aydin | 464 Congress Ave Ste 260, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Adriana Coleska | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
| Edward R Melnick | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Beatriz Isabel Sanchez Rodriguez | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Physician/surgeon | 2020-05-28 ~ 2021-03-31 |
| Jean M Kulas | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Danielle Lori Levine | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Controlled Substance Registration for Practitioner | 2020-05-06 ~ 2021-02-28 |
| Breana Lyn Brehm | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Controlled Substance Registration for Practitioner | 2020-04-10 ~ 2021-02-28 |
| Rachel B Liu | 464 Congress Ave Ste 260, New Haven, CT 06519-1362 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason Shapiro | 35 Leicester Way, Pawtucket, RI 02860-5609 | Physician/surgeon | ~ |
| Michael B. Shapiro | 639 W End Ave, New York, NY 10025-7343 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Roberta F Shapiro | 115 E 61st St Apt 10a, New York, NY 10065-8186 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
| Maksim Shapiro | 4695 Arlington Ave, Bronx, NY 10471-3658 | Physician/surgeon | ~ |
| A G Shapiro | 33 Fairview Dr, East Hanover, NJ 07936 | Physician/surgeon | 1994-08-10 ~ 1995-09-30 |
| Lewis Shapiro Md | 140 Green Rd, Meriden, CT 06450 | Physician/surgeon | 2002-06-27 ~ 2003-04-30 |
| Michael M Shapiro | 125 Skyline Dr, Middlebury, CT 06762-1720 | Physician/surgeon | 2017-10-01 ~ 2018-09-30 |
| Bernard S Shapiro | 22 Westfield Ave, Ansonia, CT 06401 | Physician/surgeon | 1995-11-13 ~ 1997-01-31 |
| David Shapiro | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Ruben L Shapiro | 15 Turnberry Lane, Bloomfield, CT 06002 | Physician/surgeon | 2008-12-12 ~ 2009-12-31 |
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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).