ALEX DESHIELDS (Credential# 508515) 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.
ALEX DESHIELDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043876. 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 14 Highridge Rd, Brewster, MA 02631. The current status is active.
| Licensee Name | ALEX DESHIELDS |
| Credential ID | 508515 |
| Credential Number | CSP.0043876 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
14 Highridge Rd Brewster MA 02631 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-06-02 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1252096 | 1.053694 | Physician/Surgeon | 2014-11-25 | 2019-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 14 Highridge Rd |
| City | Brewster |
| State | MA |
| Zip Code | 02631 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather Grenon | P.o. Box 367, 47 Maple Lane, Brewster, MA 02631 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Amanda J Reilly | 57 Sachemus Trail, Brewster, MA 02631 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven C Pisch | 103 Birch Lane, Brewster, MA 02631 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Barbara A Jellen | 27 Sheffield Road, Brewster, MA 02631 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
| Carolyn R Cistulli | 36 Badger Lane, Brewster, MA 02631 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Kathryn I Baranger | 78 Old Long Pond Road, Brewster, MA 02631 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Nancy M Capparelli | 43 Owl Pond Rd, Brewster, MA 02631 | Licensed Practical Nurse | 2017-10-01 ~ 2018-09-30 |
| Arnold W Miner | Apt 505 State St, Brewster, MA 02631 | Crane Operator | 2013-11-04 ~ 2015-11-03 |
| Joan L Kirkby · William Raveis Real Estate Inc | 158 Billington Lane, Brewster, MA 02631 | Real Estate Salesperson | 2005-06-01 ~ 2006-05-31 |
| Charles E Hildebrand Jr | 38 Loon Lane, Brewster, MA 02631 | Architect | 2015-08-01 ~ 2016-07-31 |
| Find all Licenses in zip 02631 | |||
| City | Brewster |
| Zip Code | 02631 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Brewster |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alex A Molina | 3 Hazel St, Garfield, NJ 07026 | Controlled Substance Registration for Practitioner | 2005-03-01 ~ 2006-02-28 |
| Alex Baher | 44 Orange St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2015-07-23 ~ 2017-02-28 |
| Alex M Rudewicz Dds | 373 Hopmeadow St, Weatogue, CT 06089-0316 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Alex M Dressler | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Alex C Gonzalez | 420 Saybrook Rd Ste A, Middletown, CT 06457-4747 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alex D Bibbey | 1450 Chapel St Rm 224, New Haven, CT 06511-4405 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Alex E Lash Md | 23 Westview Place, Riverside, CT 06878 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alex E Ward | 31 Stone Pond Rd, Tolland, CT 06084-3539 | Controlled Substance Registration for Practitioner | 2019-06-21 ~ 2021-02-28 |
| Alex E Rhouddou | 7 Christopher Ct, Rocky Hill, CT 06067-4260 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alex B Ryder | 43 Marion St, West Haven, CT 06516-5439 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Please comment or provide details below to improve the information on ALEX DESHIELDS.
| 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).