ARLENNE SHAPOV (Credential# 1156139) 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.
ARLENNE SHAPOV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054446. 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 Po Box 1417, Chula Vista, CA 91912-1417. The current status is lapsed.
| Licensee Name | ARLENNE SHAPOV |
| Credential ID | 1156139 |
| Credential Number | CSP.0054446 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Po Box 1417 Chula Vista CA 91912-1417 |
| Business Type | INDIVIDUAL |
| Status | LAPSED |
| Active | 1 |
| Issue Date | 2013-04-11 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2019-02-28 |
| Refresh Date | 2019-03-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1148166 | 1.051775 | Physician/Surgeon | 2013-04-11 | 2015-10-01 - 2016-09-30 | INACTIVE |
| Street Address | PO BOX 1417 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91912-1417 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Page Yumen | 953 Adirondack Pl, Chula Vista, CA 91914-2653 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Surgical Specialties Corporation | 1690 Brandywine Ave Ste A, Chula Vista, CA 91911-6072 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Braden Jockmyhn | 750 Otay Lakes Rd, Chula Vista, CA 91910 | Master's Level Social Worker | 2020-05-01 ~ 2021-04-30 |
| Shannah Marie Kozlik | 1547 Point Hueneme Ct., Chula Vista, CA 91911 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Delilah Perea | 2006 Foxtrot Loop Unit 2, Chula Vista, CA 91915-2737 | Home Improvement Salesperson | 2020-01-02 ~ 2020-11-30 |
| Michelle M Power | 730 Paso De Luz Unit 191, Chula Vista, CA 91911 | Massage Therapist | 2019-12-01 ~ 2021-11-30 |
| Jerlin Irish | 312 5th Ave, Chula Vista, CA 91910 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Nadege Auguste | 303 E James St, Chula Vista, CA 91910-6302 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Karen Buroff | 711 E J St, Chula Vista, CA 91910-6573 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
| Otay Lakes Brewery LLC | 901 Lane Ave Ste 100, Chula Vista, CA 91914-3536 | Out of State Shipper Beer | 2019-09-06 ~ 2020-09-05 |
| Find all Licenses in CHULA VISTA | |||
| City | CHULA VISTA |
| Zip Code | 91912 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHULA VISTA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 |
| Arlenne E Giraldi | 93 Crescent Dr, Chicopee, MA 01013-1936 | Dental Hygienist | 2013-08-29 ~ 2014-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Amy Kappelman Md | 8 W End Ave, Old Greenwich, CT 06870-1642 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ARLENNE SHAPOV.
| 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).