SHANNON ELIZABETH O'MALLEY (Credential# 1428995) 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.
SHANNON ELIZABETH O'MALLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0065761. 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 109 Short Beach Road, East Haven, CT 06512. The current status is active.
Licensee Name | SHANNON ELIZABETH O'MALLEY |
Credential ID | 1428995 |
Credential Number | CSP.0065761 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
109 Short Beach Road East Haven CT 06512 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-06-06 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-14 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1491949 | 1.059684-RES | Resident Physician | 2017-06-14 | 2019-07-01 - 2020-06-30 | ACTIVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Shannon Elizabeth O'malley | 20 York St, New Haven, CT 06510-3220 | Physician/surgeon | 2020-03-19 ~ 2020-08-31 |
Street Address | 109 Short Beach Road |
City | East Haven |
State | CT |
Zip Code | 06512 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Roderick A Mckenzie | 109 Short Beach Road, East Haven, CT 06512 | Notary Public Appointment | 1966-03-29 ~ 1971-03-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
East Haven Police Union Local #1662 | Po Box 120033, East Haven, CT 06512 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Danielle M Verderame | 66 Maple Street, East Haven, CT 06512 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Judith M Lyon · Sousa | 440 Townsend Ave, New Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Toni Louise Montuori | 44 Francis St, East Haven, CT 06512 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Marcos E Zambrano | 17 Morse Place, New Haven, CT 06512 | Real Estate Salesperson | ~ |
Nha H Lam | 274 Chidsey Ave, East Haven, CT 06512 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
Niraliben N Patel | 44 Columbus Ave, East Haven, CT 06512 | Esthetician | ~ |
Alyssa C Zordan | 65 Francis Street, East Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Gomes Cleaning & Painting LLC | 296 Burr St, New Haven, CT 06512 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
Keith Bouve · Residential Restorations | 99 Prospect Rd, East Haven, CT 06512 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
Find all Licenses in zip 06512 |
City | East Haven |
Zip Code | 06512 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + East Haven |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mary B O'malley | Po Box 447, Housatonic, MA 01236-0447 | Controlled Substance Registration for Practitioner | 2020-02-28 ~ 2021-02-28 |
Kayla O'malley | 1 Sugar Maple Ln, Southwick, MA 01077-6902 | Controlled Substance Registration for Practitioner | 2020-04-20 ~ 2021-02-28 |
Molly O'malley | 5 Crosshill Rd, West Hartford, CT 06107-3722 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Donald E O'malley Md | 10 Main Marion Dr, Gales Ferry, CT 06335 | Controlled Substance Registration for Practitioner | 1998-04-20 ~ 1999-02-28 |
Richard A O'malley Md | 2489 Boston Post Road, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
Michael O'malley | 263 Farmington Ave # Mc4037, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Shannon S Maher | 16 Cat Rock Rd, Cos Cob, CT 06807-1704 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 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 M Bertolino Dvm | 31 Gracey Rd, Canton, CT 06019-2471 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Shannon P Martinello Md | 1 Bradley Rd Ste 102, Woodbridge, CT 06525-2235 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).