SHANNON P MARTINELLO MD (Credential# 223699) 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.
SHANNON P MARTINELLO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028857. 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 1 Bradley Rd Ste 102, Woodbridge, CT 06525-2235. The current status is active.
| Licensee Name | SHANNON P MARTINELLO MD |
| Credential ID | 223699 |
| Credential Number | CSP.0028857 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1 Bradley Rd Ste 102 Woodbridge CT 06525-2235 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-10-28 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 555353 | 1.037763 | Physician/Surgeon | 1999-05-14 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 1 BRADLEY RD STE 102 |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525-2235 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jayne A Goldstein | 1 Bradley Rd Ste 406, Woodbridge, CT 06525-2235 | Marital and Family Therapist | 2020-05-01 ~ 2021-04-30 |
| Stephen A Musante | 1 Bradley Rd Ste 204, Woodbridge, CT 06525-2235 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Danielle Marie Lawlor | 1 Bradley Rd Ste 600, Woodbridge, CT 06525-2235 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Valmar Care Services LLC | 1 Bradley Rd Ste 104, Woodbridge, CT 06525-2235 | Homemaker Companion Agency | 2019-11-01 ~ 2020-10-31 |
| Beth-wood Softball Little League | 1 Bradley Rd Ste 202, Woodbridge, CT 06525-2235 | Public Charity-exempt From Financial Requirements | 2018-03-19 ~ |
| Ronald J Worsfold | 1 Bradley Rd, Woodbridge, CT 06525-2235 | Home Inspector | 2019-07-01 ~ 2021-06-30 |
| Sharon A Vance-winkler | 1 Bradley Rd Ste 406, Woodbridge, CT 06525-2235 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
| Find all Licenses in zip 06525 | |||
| City | WOODBRIDGE |
| Zip Code | 06525 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WOODBRIDGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard A Martinello Md | 20 York Street, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shannon S Maher | 16 Cat Rock Rd, Cos Cob, CT 06807-1704 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Shannon Sullivan | 41 Brewster Rd, Bristol, CT 06010-5161 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Shannon L Degroff | 11 Acre Way, Southington, CT 06489-2253 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shannon M Bertolino Dvm | 31 Gracey Rd, Canton, CT 06019-2471 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shannon T Ormsbee | 209 Timberlake Dr, Fayetteville, NC 28314-1241 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Shannon M Marcotte Do | 71 Haynes St, Manchester, CT 06040 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Shannon L Oteri | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Shannon M Lynch | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shannon R Packer | 68 Chatham Dr, Manchester, CT 06042-8521 | 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).