SHANNON M MARCOTTE DO (Credential# 446615) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
SHANNON M MARCOTTE DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0040055. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 71 Haynes St, Manchester, CT 06040. The current status is inactive.
Licensee Name | SHANNON M MARCOTTE DO |
Credential ID | 446615 |
Credential Number | CSP.0040055 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
71 Haynes St Manchester CT 06040 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2006-08-28 |
Effective Date | 2011-03-01 |
Expiration Date | 2013-02-28 |
Refresh Date | 2014-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
565251 | 1.047669-DO | Physician/Surgeon | 2009-05-07 | 2011-04-01 - 2012-03-31 | INACTIVE |
Street Address | 71 Haynes St |
City | Manchester |
State | CT |
Zip Code | 06040 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tahir Mohammad Chaudhry | 71 Haynes St, Manchester, CT 06040-4131 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
Tracey L Carpenter | 71 Haynes St, Manchester, CT 06040-4131 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Darci Moran Pa | 71 Haynes St, Manchester, CT 06040 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Sean M. Mclaughlin Md | 71 Haynes St, Manchester, CT 06040-4188 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Amee Mehta | 71 Haynes St, Manchester, CT 06040 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Megan T. Cummings | 71 Haynes St, Manchester, CT 06040-4131 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Paul Allen Schwiger Jr | 71 Haynes St, Manchester, CT 06040-4131 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Mark Gerard Amirault | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-05-29 ~ 2021-02-28 |
Amanda Lu | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-05-29 ~ 2021-02-28 |
Mehdi Momen | 71 Haynes St, Manchester, CT 06040-4131 | Controlled Substance Registration for Practitioner | 2019-05-20 ~ 2021-02-28 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06040 |
City | Manchester |
Zip Code | 06040 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Manchester |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Shannon S Maher | 16 Cat Rock Rd, Cos Cob, CT 06807-1704 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Shannon A Watkins | 64 Robbins St, Waterbury, CT 06708-2613 | Controlled Substance Registration for Practitioner | 2009-07-28 ~ 2011-02-28 |
Shannon P Marsh | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Shannon B Widderick Pa | 354 Birnie Ave, Springfield, MA 01107-1108 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
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 |
Shannon P Martinello Md | 1 Bradley Rd Ste 102, Woodbridge, CT 06525-2235 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Shannon E Demas | 242 S. Whitney St., Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Shannon L Oteri | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Shannon D Hall | 640 Urlacher Dr, Murfreesboro, TN 37129-8998 | Controlled Substance Registration for Practitioner | 2010-02-04 ~ 2019-02-28 |
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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).