SHELLY T LEE MD (Credential# 533918) 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.
SHELLY T LEE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045570. 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 6336 N Oracle 326-325, Tucson, AZ 85704. The current status is inactive.
Licensee Name | SHELLY T LEE MD |
Credential ID | 533918 |
Credential Number | CSP.0045570 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
6336 N Oracle 326-325 Tucson AZ 85704 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2009-06-10 |
Effective Date | 2011-03-01 |
Expiration Date | 2013-02-28 |
Refresh Date | 2014-01-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
565273 | 1.047691 | Physician/Surgeon | 2009-05-11 | 2011-05-01 - 2012-04-30 | INACTIVE |
Street Address | 6336 N Oracle 326-325 |
City | Tucson |
State | AZ |
Zip Code | 85704 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carol A Perkins | 8460 N Wanda Rd, Tucson, AZ 85704 | Registered Nurse | 2018-08-01 ~ 2019-07-31 |
Krunal Patel | 2800 E Ajo Way, Tucson, AZ 85704 | Physician/surgeon | ~ |
Deborah A Agriesto | 202 E Cambridge Drive, Tucson, AZ 85704 | Registered Nurse | 2012-01-01 ~ 2012-12-31 |
Bonnie R Rabin · Merrick | 9546 N Placita Roca, Tucson, AZ 85704 | Dietitian/nutritionist | 2011-12-01 ~ 2012-11-30 |
Kevin A. Marshall | 6327 N Caravan Lane, Tucson, AZ 85704 | Certified Public Accountant License | 2010-01-01 ~ 2010-12-31 |
Leopold T Briere | 1230 W Emerine Dr, Tucson, AZ 85704 | Hairdresser/cosmetician | 2003-10-30 ~ 2004-12-31 |
Daruka Mahadevan | 1777 W. Orange Grove Road, Tucson, AZ 85704 | Physician/surgeon | 2002-02-25 ~ 2003-02-28 |
Emanuel C Wolff Md · Va Hospital | 9670 N Pusch Ridge Pl, Tucson, AZ 85704 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
James P Curtiss Jr | 1505 W Hudson Pl, Tucson, AZ 85704 | Pharmacist | 2000-02-01 ~ 2001-01-31 |
Robert J Veillette | 5910 N Piacita Chico, Tucson, AZ 85704 | Electrical Unlimited Journeyperson | ~ |
Find all Licenses in zip 85704 |
City | Tucson |
Zip Code | 85704 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Tucson |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Shelly-ann Brown Pa | 77 Webb Ave Apt 6, Stamford, CT 06902-4432 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Amir M Wassif | 27 Shelly Ct, Plainview, NY 11803-5309 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Shelly E Cozine Aprn | 3 Iris Way, Berlin, CT 06037 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Shelly-ann B Kelly | 540 Litchfield Street, Torrington, CT 06790 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Shelly D Sedberry | 33 Cedar Ave, North Haven, CT 06473-3733 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Shelly A Miller | 6 Glendale Avenue, Cromwell, CT 06416 | Controlled Substance Registration for Practitioner | 1994-12-19 ~ 1996-02-28 |
Shelly Rivas | 9716 103rd St, Ozone Park, NY 11416-2627 | Controlled Substance Registration for Practitioner | 2013-07-01 ~ 2015-02-28 |
Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
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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).