SHANNON G CASPERSEN
Controlled Substance Registration for Practitioner


Address: 1111 Park Ave, New York, NY 10128

SHANNON G CASPERSEN (Credential# 1234282) 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.

Business Overview

SHANNON G CASPERSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0058073. 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 1111 Park Ave, New York, NY 10128. The current status is lapsed.

Basic Information

Licensee Name SHANNON G CASPERSEN
Credential ID 1234282
Credential Number CSP.0058073
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1111 Park Ave
New York
NY 10128
Business Type INDIVIDUAL
Status LAPSED
Active 1
Issue Date 2014-07-24
Effective Date 2017-03-01
Expiration Date 2019-02-28
Refresh Date 2019-03-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1216361 1.053291 Physician/Surgeon 2014-07-11 2016-05-01 - 2017-04-30 INACTIVE

Office Location

Street Address 1111 Park Ave
City NEW YORK
State NY
Zip Code 10128

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Brian P Lipton 1111 Park Ave, New York, NY 10128 Physician/surgeon 1996-06-25 ~ 1997-05-31

Licenses in the same zip code

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Kevin D Plancher Md 1160 Park Avenue, New York, NY 10128 Physician/surgeon 2020-07-01 ~ 2021-06-30
David Vlahov 250 E 87th St. Apt 25aj, New York, NY 10128 Registered Nurse 2020-09-01 ~ 2021-08-31
Richard Lewis Kadin 47 E. 87th Street, New York, NY 10128 Architect 2018-08-01 ~ 2019-07-31
Wesbuilt Construction Managers LLC 145 E 94th Street, New York, NY 10128 Major Contractor 2018-07-01 ~ 2019-06-30
Gain G Lu 110 East 87th Street, 3e, New York, NY 10128 Dentist 2020-04-01 ~ 2021-03-31
Mitzi H Liotta 45 East 89th St, New York, NY 10128 Licensed Clinical Social Worker 2020-05-01 ~ 2021-04-30
Carla Gergi Sawan Apartment 5g, New York, NY 10128 Physician/surgeon ~
Tyler S Lucas Md 1349 Lexington Avenue #4d, New York, NY 10128 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Peter S Rattner 50 East 89th St, New York, NY 10128 Physician/surgeon 2020-07-01 ~ 2021-06-30
Jennifer Sarah Millman 108 E 96th St, New York, NY 10128 Physician/surgeon 2020-06-01 ~ 2021-05-31
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Competitor

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City NEW YORK
Zip Code 10128
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK

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Dataset Information

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).

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