JULIA A SHAW MD (Credential# 408356) 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.
JULIA A SHAW MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037674. 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 2351 Heartland Road, Corinth, TX 76210. The current status is active.
Licensee Name | JULIA A SHAW MD |
Credential ID | 408356 |
Credential Number | CSP.0037674 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
2351 Heartland Road Corinth TX 76210 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2005-06-22 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-31 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
560343 | 1.042761 | Physician/Surgeon | 2004-08-30 | 2020-02-01 - 2021-01-31 | ACTIVE |
Street Address | 2351 Heartland Road |
City | Corinth |
State | TX |
Zip Code | 76210 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Cynthia A Brauer | 7700 Shoal Bend, Denton, TX 76210 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Mchenry Wallace Jr | 1311 Woodlake Dr, Corinth, TX 76210 | Professional Engineer | 2002-01-15 ~ 2003-01-31 |
Peter T. Taurchini | 2102 Post Oak Ct, Corinth, TX 76210-1900 | Certified Public Accountant License | 2014-01-01 ~ 2014-12-31 |
Stacy L Webster | 3207 Brookview Dr, Corinth, TX 76210-2706 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Donna J Strom | 3004 Clay Trl, Corinth, TX 76210-3124 | Registered Nurse | 2014-07-01 ~ 2015-06-30 |
Joseph T Kolanko | 2101 Belmont Park Dr, Denton, TX 76210-3648 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Heather D Darwin | 4116 Cadena Rd, Denton, TX 76210-4625 | Registered Nurse | 2014-03-01 ~ 2014-08-31 |
Stephanie Childers Duran | 2201 Miranda Pl, Denton, TX 76210-4638 | Registered Nurse | 2015-12-01 ~ 2016-11-30 |
Kristin R Asis | 3504 Bentley Ct, Denton, TX 76210-5526 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Antonio Asis Md | 3504 Bentley Ct, Denton, TX 76210-5526 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
Find all Licenses in zip 76210 |
City | Corinth |
Zip Code | 76210 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Corinth |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Fiona Shaw | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Julia M. Shi Md | 18 Centerview Rd, Woodbridge, CT 06525 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Julia W Bentley | 183 Bay Rd, Hadley, MA 01035-9793 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Roger S Van Dyke Md | 4 Shaw's Cove, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Albert C Shaw Md | Yale Uni Sch of Medicine, New Haven, CT 06520-8022 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Alexandra K Shaw | 41 Grandview Terrace, Wethersfield, CT 06109 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Richard A Fraser | Shaw's Cove #3, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Thomas J Matyas Dds | 4 Shaw's Cove 202, New London, CT 06320 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Glenn Hoffman Pa | 78 Shaw's Cove Rd, Fairhaven, MA 02719 | Controlled Substance Registration for Practitioner | 2006-04-05 ~ 2007-02-28 |
Kevin Shaw Md | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | 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).