ANNA C SHAFER (Credential# 1157028) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 4, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
ANNA C SHAFER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054476. The credential type is controlled substance registration for practitioner. The effective date is April 4, 2013. The expiration date is February 28, 2015. The business address is 10 Wildwood Rd Apt 101, Groton, CT 06340-4276. The current status is inactive.
| Licensee Name | ANNA C SHAFER |
| Credential ID | 1157028 |
| Credential Number | CSP.0054476 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
10 Wildwood Rd Apt 101 Groton CT 06340-4276 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2013-04-04 |
| Effective Date | 2013-04-04 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2017-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1149457 | 23.002893 | Physician Assistant | 2013-03-26 | 2014-02-01 - 2015-01-31 | INACTIVE |
| Street Address | 10 WILDWOOD RD APT 101 |
| City | GROTON |
| State | CT |
| Zip Code | 06340-4276 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Delgardo R Newkirk | 10 Wildwood Rd Apt 104, Groton, CT 06340-4276 | Radiographer | 2016-04-01 ~ 2017-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | GROTON |
| Zip Code | 06340 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Aaron Shafer Md | 85 Seymour St., Hartford, CT 06102 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Balakrishnan Natarajan | 6400 Shafer Ct Ste 700, Rosemont, IL 60018-4989 | Controlled Substance Registration for Practitioner | 2020-01-09 ~ 2021-02-28 |
| Katherine Shafer | 464 Congress Avenue, New Haven, CT 06519 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Anna M Brock | Po Box 793, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anna M Fleischman | 117 Durkee Rd, Somers, CT 06071-1537 | Controlled Substance Registration for Practitioner | 2020-05-15 ~ 2021-02-28 |
| Anna C Mai Od | 50 Holy Family Rd Apt 317, Holyoke, MA 01040-2782 | Controlled Substance Registration for Practitioner | 2011-05-04 ~ 2013-02-28 |
| Anna Simonis | 65 Locust Ave Ste 10, New Canaan, CT 06840-4753 | Controlled Substance Registration for Practitioner | 2019-04-30 ~ 2021-02-28 |
| Anna Karidas Dds | 15 Lighthouse Way, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anna E Von Reinhart | 310 Front St, New Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Anna Pancheshnikov | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on ANNA C SHAFER.
| 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).