SHANA ELIZABETH GLEESON (Credential# 1651996) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
SHANA ELIZABETH GLEESON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063867. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 8 Chestnut St, Branford, CT 06405-3749. The current status is active.
| Licensee Name | SHANA ELIZABETH GLEESON |
| Credential ID | 1651996 |
| Credential Number | 1.063867 |
| Credential Type | Physician/Surgeon |
| Business Address |
8 Chestnut St Branford CT 06405-3749 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-05 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1435066 | CSP.0066120 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-07-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1494003 | 1.060051-RES | Resident Physician | 2017-07-01 | 2017-07-01 - 2019-06-30 | INACTIVE |
| 848651 | 70.008918 | Emergency Medical Technician | 2007-10-12 | 2007-10-12 - 2009-10-01 | INACTIVE |
| Street Address | 8 CHESTNUT ST |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405-3749 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John P Coyle | 8 Chestnut St, Branford, CT 06405 | Electrical Unlimited Journeyperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rory V Condon | 66 Chestnut St, Branford, CT 06405-3749 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrew P Dillon | 26 Chestnut St, Branford, CT 06405-3749 | Heating, Piping & Cooling Limited Contractor | 2019-08-15 ~ 2019-08-31 |
| Donna L Peat | 68 Chestnut St, Branford, CT 06405-3749 | Sealed Ticket Operator | 2012-08-09 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shana S. Clark | 921 Route 11 South, Kirkwood, NY 13795 | Physician/surgeon | ~ |
| Shana Mencher | 20 York St, New Haven, CT 06510-3220 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Shana Francelle Straub | 145 Cooper Ave, Apt 8, Weatogue, CT 06089 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Sarah Elizabeth Gleeson | 35 Cos Cob Ave Rear Apt, Cos Cob, CT 06807-2182 | Physical Therapist Assistant | ~ |
| Gleeson Mortuary | 258 Prospect St, Torrington, CT 06790 | Funeral Home | 2007-06-01 ~ 2008-06-30 |
| Nicole Caldwell | 240 Elizabeth St # H1-120, Elizabeth, CO 80107-7537 | Physician/surgeon | 2015-03-01 ~ 2016-02-29 |
| Frederick Lu | Po Box 546, Elizabeth, NJ 07207 | Physician/surgeon | 1994-05-06 ~ 1995-04-30 |
| Elizabeth Baorto | 360 3rd St Ste 425, San Francisco, CA 94107-2164 | Physician/surgeon | ~ |
| Elizabeth Kao | 4 Edenville Rd, Warwick, NY 10990-2419 | Physician/surgeon | 2017-10-01 ~ 2018-09-30 |
| Nina R Rivera | 141 Elizabeth St, Hartford, CT 06105-2211 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on SHANA ELIZABETH GLEESON.
| 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).