ISAAC H. SHALOM (Credential# 537350) 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 INACTIVE.
ISAAC H. SHALOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045838. 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 Westchester Medical Center, New York, NY 10595. The current status is inactive.
| Licensee Name | ISAAC H. SHALOM |
| Credential ID | 537350 |
| Credential Number | CSP.0045838 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
Westchester Medical Center New York NY 10595 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2009-07-28 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1050292 | 1.050716 | Physician/Surgeon | 2012-03-15 | 2018-06-01 - 2019-05-31 | INACTIVE |
| 1057953 | CSP.0052183 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | Westchester Medical Center |
| City | new york |
| State | NY |
| Zip Code | 10595 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emily R Segal · Reichert | 35 Taylor Road, Valhalla, NY 10595 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Sahil Munjal | 100 Woods Road, Valhalla, NY 10595 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Thomas D Cerabona | 401 Columbus Ave, Valhalla, NY 10595 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Joanne R Ricciardella | 364 Grasslands Road, Valhalla, NY 10595 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Sunny D Mitchell | Dept of Surgery, Valhalla, NY 10595 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Marcon Group Ltd · Gregg D Smolev | 120 Prospect Ave., Valhalla, NY 10595 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Emma Caitlin Mason | 45 Pamela Lane, Valhalla, NY 10595 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Katherine Osborn-jones | 115 South Kensico, Valhalla, CT 10595 | Registered Nurse | ~ |
| Incoronata Lileika | 21 Locust St., Valhalla, NY 10595 | Audiologist | 2020-03-01 ~ 2021-02-28 |
| Matthew R Hyland | 39 Over Look Drive, Valhalla, NY 10595 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 10595 | |||
| City | new york |
| Zip Code | 10595 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + new york |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Isaac Horowitz Md | 230 Inwood Rd, Fairfield, CT 06432 | Controlled Substance Registration for Practitioner | 1993-09-14 ~ 1995-10-01 |
| Isaac E Sasson | 174 Linden St #e-6, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Isaac S. Bruck | 52 Franklin St, Waterbury, CT 06706 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Isaac E Davison | 173 Park St #3a, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-10-19 ~ 2007-02-28 |
| Margaret Mc Isaac Dvm | 51 W State St, Granby, MA 01033 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Isaac Lazar Md | 333 Cedar St, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Isaac R Ramos | 9 R Allen Rd, Cromwell, CT 06416 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Beverly A Isaac Pa | 1 Main St, Sharon, CT 06069 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Isaac Hammond Jr | 81 Pondfield Rd Ste D291, Bronxville, NY 10708-3818 | Controlled Substance Registration for Practitioner | 2020-02-05 ~ 2021-02-28 |
| Isaac Galandauer Md | 1511 Jefferson St, Teaneck, NJ 07666-2950 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on ISAAC H. SHALOM.
| 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).