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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1216361 | 1.053291 | Physician/Surgeon | 2014-07-11 | 2016-05-01 - 2017-04-30 | INACTIVE |
Street Address | 1111 Park Ave |
City | NEW YORK |
State | NY |
Zip Code | 10128 |
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 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
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 |
Find all Licenses in zip 10128 |
City | NEW YORK |
Zip Code | 10128 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Shannon S Maher | 16 Cat Rock Rd, Cos Cob, CT 06807-1704 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Shannon M Bertolino Dvm | 31 Gracey Rd, Canton, CT 06019-2471 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Shannon Sullivan | 41 Brewster Rd, Bristol, CT 06010-5161 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Shannon M Lynch | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Shannon M Marcotte Do | 71 Haynes St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Shannon B Widderick Pa | 354 Birnie Ave, Springfield, MA 01107-1108 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Shannon T Ormsbee | 209 Timberlake Dr, Fayetteville, NC 28314-1241 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Shannon D Hall | 640 Urlacher Dr, Murfreesboro, TN 37129-8998 | Controlled Substance Registration for Practitioner | 2010-02-04 ~ 2019-02-28 |
Shannon L Degroff | 11 Acre Way, Southington, CT 06489-2253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Shannon A Watkins | 64 Robbins St, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2009-07-28 ~ 2011-02-28 |
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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).