JONATHAN P SHEPHERD (Credential# 1358752) 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.
JONATHAN P SHEPHERD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062999. 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 219 Elm St, Swissvale, PA 15218-1517. The current status is active.
| Licensee Name | JONATHAN P SHEPHERD |
| Credential ID | 1358752 |
| Credential Number | CSP.0062999 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
219 Elm St Swissvale PA 15218-1517 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-06-07 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1332354 | 1.055313 | Physician/Surgeon | 2016-06-01 | 2019-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 219 ELM ST |
| City | SWISSVALE |
| State | PA |
| Zip Code | 15218-1517 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John A Fasanini | 216 Elm Street, Pittsburgh, PA 15218 | Registered Nurse | 2009-10-01 ~ 2010-09-30 |
| Jennifer Hubble | 111 Lacrosse St, Pittsburg, PA 15218 | Registered Nurse | 2009-10-01 ~ 2010-09-30 |
| Susan R Jerko | 7514 Ormand Ave, Pittsburg, PA 15218 | Registered Nurse | 2009-06-09 ~ 2010-06-30 |
| Robert R Schade | 338 Dewey St., Edgewood, PA 15218 | Physician/surgeon | 1977-07-25 ~ 1982-01-31 |
| Anne M Chou · Pincock | 57 Lilmont Drive, Pittsburgh, PA 15218 | Registered Nurse | 2002-10-02 ~ 2003-10-31 |
| Jigme M Sethi | 961 Milton Street, Pittsburgh, PA 15218 | Physician/surgeon | 2000-03-01 ~ 2001-01-31 |
| Ana M Vales | 1400 Smokey Wood Dr, Pittsburgh, PA 15218 | Dentist | 1993-10-25 ~ 1994-09-30 |
| Michael D. Fracassi | 200 Elm Street, Swissvale, PA 15218 | Certified Public Accountant Certificate | ~ |
| Gary M Acord | 1315 Richmond St, Pittsburgh, PA 15218-1222 | Architect | 2019-08-01 ~ 2020-07-31 |
| Jacob Ryan Corbin | 7811 Sailor Pl Apt 3, Pittsburgh, PA 15218-1806 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 15218 | |||
| City | SWISSVALE |
| Zip Code | 15218 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SWISSVALE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Janiline En Shepherd-hall Pa-c | 770 Ridge Rd, Hamden, CT 06517-2139 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michelle L Shepherd Aprn | 365 Montauk Ave, New London, CT 06320-4700 | Controlled Substance Registration for Practitioner | 2009-04-16 ~ 2011-02-28 |
| Jonathan Uhl | 227 Coppermine Rd, Unionville, CT 06085-1528 | Controlled Substance Registration for Practitioner | 2020-03-10 ~ 2021-02-28 |
| Jonathan L Nelson Md | 33 Cedar St Ste 6, Rye, NY 10580-2031 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Jonathan T Orr | 37 Ridge Rd, Danbury, CT 06810-6362 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jonathan S. Mittelman | 175 Wingood Rd, Windsor, ME 04363-3707 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jonathan J Kurland | 128 Weston Rd, Westport, CT 06880-1310 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jonathan M Glick Md | 221 Trumbull St, Hartford, CT 06103 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Jonathan Foster | 227 W 77th St Apt 15c, New York, NY 10024-6786 | Controlled Substance Registration for Practitioner | 2019-04-25 ~ 2021-02-28 |
| Jonathan R Weisiger | 129 York St Apt 8-0, New Haven, CT 06511-5608 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).