SHIRLEY JANKELEVICH MD
Controlled Substance Registration for Practitioner


Address: 74 Midwood Rd, Branford, CT 06405

SHIRLEY JANKELEVICH MD (Credential# 159542) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 7, 1994. The license expiration date date is December 1, 1995. The license status is INACTIVE.

Business Overview

SHIRLEY JANKELEVICH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0020206. The credential type is controlled substance registration for practitioner. The effective date is January 7, 1994. The expiration date is December 1, 1995. The business address is 74 Midwood Rd, Branford, CT 06405. The current status is inactive.

Basic Information

Licensee Name SHIRLEY JANKELEVICH MD
Credential ID 159542
Credential Number CSP.0020206
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 74 Midwood Rd
Branford
CT 06405
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1994-01-07
Expiration Date 1995-12-01
Refresh Date 2009-01-26

Office Location

Street Address 74 MIDWOOD RD
City BRANFORD
State CT
Zip Code 06405

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Shirley Jankelevich 74 Midwood Rd, Branford, CT 06405 Physician/surgeon 1994-04-28 ~ 1995-06-30

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Competitor

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City BRANFORD
Zip Code 06405
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRANFORD

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Shirley Jankelevich 74 Midwood Rd, Branford, CT 06405 Physician/surgeon 1994-04-28 ~ 1995-06-30
Shirley Wu 80 Seymour St, Hartford, CT 06106-3315 Controlled Substance Registration for Practitioner 2015-03-01 ~ 2017-02-28
Shirley Hanna 107 Old Towne Rd, Cheshire, CT 06410 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Shirley A Mendes 24 Fawn Run, Salem, CT 06420-3900 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Shirley C Austin 707 Orange Ave Unit 3c, Coronado, CA 92118-2242 Controlled Substance Registration for Practitioner 2017-12-04 ~ 2019-02-28
Shirley E Mohren-graves 501 E Spring St, New Albany, IN 47150 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Shirley A Huang Md 661 Buchanan Blvd, Red Bank, NJ 07701-5357 Controlled Substance Registration for Practitioner 2009-03-01 ~ 2011-02-28
Sophia A Shirley Aprn 150 Southwood Ter, Southbury, CT 06488-1840 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Shirley M Perry Aprn 753 Crescent Ave, Buffalo, NY 14216-3417 Controlled Substance Registration for Practitioner 2009-06-22 ~ 2011-02-28
Shirley Ross-irwin Aprn 7 Eastwood Rd, W Hartford, CT 06117 Controlled Substance Registration for Practitioner 1996-03-01 ~ 1997-02-28

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Dataset Information

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).

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