SHELLEY K DRIESMAN (Credential# 156978) 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.
SHELLEY K DRIESMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0014754. 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 Opthamlmic Surgeons, Fairfield, CT 06432. The current status is active.
| Licensee Name | SHELLEY K DRIESMAN |
| Credential ID | 156978 |
| Credential Number | CSP.0014754 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Opthamlmic Surgeons Fairfield CT 06432 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 545480 | 1.025509 | Physician/Surgeon | 1984-05-04 | 2020-02-01 - 2021-01-31 | ACTIVE |
| Street Address | OPTHAMLMIC SURGEONS |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06432 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jean Puglia | 29 Coburn Street, Fairfield, CT 06432 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Timothy Callahan | 66 Jackman Ave, Fairfield, CT 06432 | Registered Sanitarian | 2020-05-01 ~ 2021-04-30 |
| Dave J Sorgenti | 184 Church Hill Road, Fairfield, CT 06432 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Bridgeport Awning & Windowshade Inc | 145 Tunxis Hill Rd, Fairfield, CT 06432 | Home Improvement Contractor | 2020-03-02 ~ 2020-11-30 |
| Aeran Kang | 92 Bibbins Avenue, Fairfield, CT 06432 | Tattoo Technician | 2020-02-20 ~ 2022-01-31 |
| Gene J Lupo | 55 Lisbon Dr., Fairfield, CT 06432 | Sub-surface Sewage Installer | 2020-02-01 ~ 2021-01-31 |
| Arlene H Black · Szilagyi | 97 Tuller Road, Fairfield, CT 06432 | Radiographer | 2020-04-01 ~ 2021-03-31 |
| Linda M Ludwig | 81 Valley Circle, Fairfield, CT 06432 | Psychologist | 2020-04-01 ~ 2021-03-31 |
| Mark Allen · Allen Construction | 35 Alvin St, Fairfield, CT 06432 | Home Improvement Contractor | 2019-12-23 ~ 2020-11-30 |
| Super Duper Weenie LLC | 306 Black Rock Tpke, Fairfield, CT 06432 | Frozen Dessert Retailer | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 06432 | |||
| City | FAIRFIELD |
| Zip Code | 06432 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shelley B Saber | 43 Russell St, Hamden, CT 06517 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Shelley E Smith | 895 Bridgeport Ave, Shelton, CT 06484-4621 | Controlled Substance Registration for Practitioner | 2015-04-17 ~ 2017-02-28 |
| Diana R Nordquist | 968 W Shelley Rd, North Bellmore, NY 11710-2045 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Shelley N Skopit | Park Animal Hospital, Darien, CT 06820-4404 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shelley A Christ · Kamm | 89 Ridgewood Rd, West Hartford, CT 06107-2924 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shelley Burchsted | 9 Berkshire Drive, East Hampton, CT 06424 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shelley M Dubin Vmd | 1387 Thompson Rd, Thompson, CT 06277 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shelley P Wood · Shelley's Painting | 120 Hangman Hill Road, N Stonington, CT 06359 | Home Improvement Contractor | 2019-12-19 ~ 2020-11-30 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Please comment or provide details below to improve the information on SHELLEY K DRIESMAN.
| 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).