PETER S MARSHALL MD (Credential# 196285) 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.
PETER S MARSHALL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026849. 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 7 Acadia Lane, # 2-407, Shelton, CT 06484. The current status is active.
Licensee Name | PETER S MARSHALL MD |
Credential ID | 196285 |
Credential Number | CSP.0026849 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
7 Acadia Lane, # 2-407 Shelton CT 06484 |
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 |
---|---|---|---|---|---|
554432 | 1.036841 | Physician/Surgeon | 1998-05-08 | 2019-05-01 - 2020-04-30 | ACTIVE |
Street Address | 7 Acadia Lane, # 2-407 |
City | Shelton |
State | CT |
Zip Code | 06484 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Find all Licenses in zip 06484 |
City | Shelton |
Zip Code | 06484 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Shelton |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ami S Marshall | 142 Scott Ave, Watertown, CT 06795-2521 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Kari B Kissel | 73 Marshall St, Milford, CT 06461-1822 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Dorina M Marshall | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Marshall Diamond | 652 Main Ave, Norwalk, CT 06851-1189 | Controlled Substance Registration for Practitioner | 2019-12-05 ~ 2021-02-28 |
Tamara R Kuittinen | 35 Marshall Rd, Ridgefield, CT 06877-4820 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Jean Stadalnik Md | 38 Marshall Ave, Guilford, CT 06437-3516 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
Shraddha A Marshall | 11 Chestnut Ln, Unionville, CT 06085-1564 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Scott N Marshall Dvm | 63 Greenville Rd, No Smithfield, RI 02896 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Thomas J Reda II | 851 Marshall Phelps Rd, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
James B Marshall | 357 Main St South, Woodbury, CT 06798 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).