J KEVIN SHUSHTARI MD (Credential# 180150) 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.
J KEVIN SHUSHTARI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025539. 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 2150 Corbin Ave, New Britain, CT 06053-2266. The current status is active.
| Licensee Name | J KEVIN SHUSHTARI MD |
| Credential ID | 180150 |
| Credential Number | CSP.0025539 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2150 Corbin Ave New Britain CT 06053-2266 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 553594 | 1.036002 | Physician/Surgeon | 1997-05-09 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 2150 CORBIN AVE |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06053-2266 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ymca Little Scholars | 2150 Corbin Ave, New Britain, CT 06053-2266 | Child Care Center | 2019-08-30 ~ 2023-08-31 |
| Hospital for Special Care | 2150 Corbin Ave, New Britain, CT 06053-2266 | Chronic Disease Hospital | 2020-04-01 ~ 2022-03-31 |
| Dennis L Rosati | 2150 Corbin Ave, New Britain, CT 06053-2266 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| William J Pesce | 2150 Corbin Ave, New Britain, CT 06053 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| J Dennis Johnston Jr | 2150 Corbin Ave, New Britain, CT 06053 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Lindsay Pratt-bluemle | 2150 Corbin Ave, New Britain, CT 06053 | Licensed Clinical Social Worker | 2020-06-01 ~ 2021-05-31 |
| Hospital for Special Care | 2150 Corbin Ave, New Britain, CT 06053-2266 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Manes & Motions Therapeutic Riding Center Inc | 2150 Corbin Ave, New Britain, CT 06053-2266 | Public Charity | 2020-02-29 ~ 2021-02-28 |
| Sadaf Khorasanizadeh Md | 2150 Corbin Ave, New Britain, CT 06053 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nathan Nartey | 2150 Corbin Ave, New Britain, CT 06053-2266 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anetta Kuzawa · Kacmarska | 41 Charlene Dr, New Britain, CT 06053 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Ana Maria Hernandez | 108 Mcclintock St.apt2 South, New Britain, CT 06053 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-10-31 |
| Salvatore Parafati | 118 Jordan Street, New Britain, CT 06053 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| New Britain Noble LLC | 973 Farmington Ave, New Britain, CT 06053 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Zhen Ying Lai | 274 Paul Manafort Dr, New Britain, CT 06053 | Nail Technician | ~ |
| Kwame Kusi | 22 Dorman Rd, New Britain, CT 06053 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Nelida Rodriguez | 22 Marmon Street, New Britain, CT 06053 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Dany Heng | 251 Batterson Dr, New Britain, CT 06053 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Daniela Stephania Ospina | 156 Pierremount Ave, New Britain, CT 06053 | Registered Nurse | 2020-06-22 ~ 2021-01-31 |
| Pratima Aryal | 55 Brittany Farms Road H216, New Britain, CT 06053 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06053 | |||
| City | NEW BRITAIN |
| Zip Code | 06053 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW BRITAIN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin J Twohig | Kevin J Twohig Md, North Haven, CT 06473 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin K Lee | 20 York St Tmp 209, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Kevin Maguire | 163 Snowdrift Ln, Williston, VT 05495-4434 | Controlled Substance Registration for Practitioner | 2020-04-16 ~ 2021-02-28 |
| Kevin P Fitzmartin | 129 York St Apt 7a, New Haven, CT 06511-5606 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Kevin I Baratta | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin T O'brien Dmd | 295 Washington Ave, Hamden, CT 06518-3025 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin B Panzer | 857 Post Rd Apt 353, Fairfield, CT 06824-6041 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin Sterling Md | 56 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Kevin W Kimmel | 49 Nutmeg Ln, Madison, CT 06443-1948 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kevin Morine | 495 Williams St, Longmeadow, MA 01106-2059 | Controlled Substance Registration for Practitioner | ~ |
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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).