JOSEPH SHOVLIN MD (Credential# 195330) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 2, 1998. The license expiration date date is February 28, 1999. The license status is INACTIVE.
JOSEPH SHOVLIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026738. The credential type is controlled substance registration for practitioner. The effective date is April 2, 1998. The expiration date is February 28, 1999. The business address is 1250 Chestnut Street, Bloomburg, PA 17815. The current status is inactive.
| Licensee Name | JOSEPH SHOVLIN MD |
| Credential ID | 195330 |
| Credential Number | CSP.0026738 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1250 Chestnut Street Bloomburg PA 17815 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 1998-04-02 |
| Expiration Date | 1999-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 554332 | 1.036741 | Physician/Surgeon | 1998-03-27 | - 1998-11-30 | INACTIVE |
| Street Address | 1250 CHESTNUT STREET |
| City | BLOOMBURG |
| State | PA |
| Zip Code | 17815 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael H Queen | 1103 Cherry Hill Rd, Bloomsburg, PA 17815 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Matthew J Vertucci | 3029 Woods Edge Dr, Bloomsburg, PA 17815 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Gino J Mongelluzzo | 213 W 3rd St, Bloomsburg, PA 17815 | Resident Physician | 2015-06-25 ~ 2019-06-30 |
| Gerald R Bodman | 98 Church Roadr, Bloomsburg, PA 17815 | Professional Engineer | 2003-02-01 ~ 2004-01-31 |
| Tracie A Wood | 117 Hemlock Lane, Bloomsburg, PA 17815 | Physical Therapist | 2008-10-21 ~ 2009-12-31 |
| Helen J Lough | P.o. Box 357, Bloomsburg, PA 17815 | Licensed Practical Nurse | 2004-09-13 ~ 2005-09-30 |
| Jeffery O Skjoldal Jr. | 76 Kile Drive, Bloomsburg, PA 17815 | Asbestos Abatement Supervisor | 2004-01-26 ~ 2004-04-30 |
| Leesa J Masteller | Rd #3 Boc 195, Bloomburg, PA 17815 | Physical Therapist | ~ 1999-02-28 |
| Alice F Wilson | 134 East 12th St, Bloomsburg, PA 17815 | Registered Nurse | 1992-06-25 ~ 1993-05-31 |
| Elmer J Kelly | Rd 4 Box 139b, Bloomsburg, PA 17815 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Find all Licenses in zip 17815 | |||
| City | BLOOMBURG |
| Zip Code | 17815 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BLOOMBURG |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| St Joseph's Manor | 6448 Main Street, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2000-12-22 |
| St Joseph's Hospital | 128 Strawberry Hill Ave, Stamford, CT 06904 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Joseph E Grasso Dds · University of Connecticut | Joseph Grasso Dds, Farmington, CT 06030-1615 | Controlled Substance Registration for Practitioner | 2017-03-27 ~ 2019-02-28 |
| Joseph Tomanelli | Joseph T Tomanelli, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Joseph Flanagan M.d. · Joseph Flanagan, M.d. | Ct Juvenile Training School/long Lane School, Middletown, CT 06457 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Joseph A Cuteri | Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph L Frenkel Md | 710 E 6th St, Boston, MA 02127 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Joseph L Ianello | 113 Elm St, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph Ajdinovich | 31 River Rd Ste 100, Cos Cob, CT 06807-2152 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Joseph J Makovich Jr | P O Box 15, Wilton, CT 06897 | Controlled Substance Registration for Practitioner | 1994-02-14 ~ 1996-01-01 |
Please comment or provide details below to improve the information on JOSEPH SHOVLIN MD.
| 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).