SHADY ELSAMRA (Credential# 1211597) 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.
SHADY ELSAMRA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0056843. 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 Yale New Haven Health, Nemg, New London, CT 06320. The current status is active.
| Licensee Name | SHADY ELSAMRA |
| Credential ID | 1211597 |
| Credential Number | CSP.0056843 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Yale New Haven Health, Nemg New London CT 06320 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-04-03 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2018-12-28 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1205019 | 1.052793 | Physician/Surgeon | 2014-02-25 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | Yale New Haven Health, NEMG |
| City | New London |
| State | CT |
| Zip Code | 06320 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
| Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
| Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
| Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
| Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
| Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06320 | |||
| City | New London |
| Zip Code | 06320 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New London |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mohamed M Elsamra Md | 19 Ellis Rd, East Haven, CT 06512 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hwa Jung Son | 1 Shady Ln, Scarsdale, NY 10583-4959 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ruchika Joon | 10 Shady Ln, Chappaqua, NY 10514-2113 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David N Podell | 23 Shady Ln, Morris, CT 06763-1210 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristen Mccartney Pa | 42 Shady Hill Ln, Glastonbury, CT 06033-1847 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Catherine A Cannella Dvm | 200 Shady Hill Rd, Fairfield, CT 06824-7337 | Controlled Substance Registration for Practitioner | 2019-05-12 ~ 2021-02-28 |
| Amy Brower | 17 Shady Lane, West Simsbury, CT 06092 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Barbara Kuznesof-knee | 2 Shady Brook Dr, Cromwell, CT 06416-1447 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph V Mendes Pa | 30 Shady Hill Lane, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph M Giampa | 725 Shady Pond Path, Franklin Lakes, NJ 07417-1739 | Controlled Substance Registration for Practitioner | 2017-06-14 ~ 2019-02-28 |
Please comment or provide details below to improve the information on SHADY ELSAMRA.
| 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).