ADAM W SHEN (Credential# 1425212) 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 INACTIVE.
ADAM W SHEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065520. 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 304 Community Drive Apt 1r, Manhasset, NY 11030. The current status is inactive.
Licensee Name | ADAM W SHEN |
Credential ID | 1425212 |
Credential Number | CSP.0065520 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
304 Community Drive Apt 1r Manhasset NY 11030 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
Issue Date | 2017-05-24 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-04-24 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1488833 | 1.058228-RES | Resident Physician | 2017-07-01 | 2017-07-01 - 2019-07-31 | INACTIVE |
Street Address | 304 COMMUNITY DRIVE APT 1R |
City | MANHASSET |
State | NY |
Zip Code | 11030 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jaewoo Kim | 18 Kensington Circle, Manhasset, NY 11030 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Linus Chuang | 35 Evergreen Circle, Manhasset, NY 11030 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Megan G Tursi | 93 Gaynor Ave, Manhasset, NY 11030 | Certified General Real Estate Appraiser | 2018-08-03 ~ 2019-04-30 |
Aret R Akbork | 90 Bourndale Rd South, Manhasset, NY 11030 | Engineer-in-training | 2007-04-10 ~ 2017-04-10 |
Nicholas J Gajdjis | 659 Park Avenue, Manhasset, NY 11030 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
Lawrence Trachtman | Po Box 706, Manhasset, NY 11030 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
David Cooper | 66 Hemlock Road, Manhasset, NY 11030 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Joan M Viscardi | 10 Shorehaven Lane, Manhasset, NY 11030 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Patrick D Pilch | 138 Bourndale Road North, Manhassett, NY 11030 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
Frank J Capone | 13 The Ridge, Plandome, NY 11030 | Architect | 2019-08-01 ~ 2020-07-31 |
Find all Licenses in zip 11030 |
City | MANHASSET |
Zip Code | 11030 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MANHASSET |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Yue Shen | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Lin Shen | 100 Temple St Apt 208, New Haven, CT 06510-2728 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Daniel Shen | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Meifeng Shen | 6 Fieldstone Dr, Woodbridge, CT 06525-1224 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Qiheng J Shen Md | 111 Brownell St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2001-05-22 ~ 2002-02-28 |
Jianbin Shen | 245 Sunnyridge Ave Apt 27, Fairfield, CT 06824-4645 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Katherine J Shen Md | 210 Westchester Ave, White Plains, NY 10604 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Shiqian Shen | 1450 Chapel St Main 136, New Haven, CT 06511-4405 | Controlled Substance Registration for Practitioner | 2009-10-20 ~ 2011-02-28 |
Adam D Corrado Md | Po Box 37, Farmington, CT 06034-0037 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Adam Y Hsu Md | 500 Bedford St Apt 220, Stamford, CT 06901-1508 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 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).