BENNETT A SHAYWITZ (Credential# 541622) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
BENNETT A SHAYWITZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.015765. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is Yale Univ School of Medicine, New Haven, CT 06520-8064. The current status is active.
| Licensee Name | BENNETT A SHAYWITZ |
| Credential ID | 541622 |
| Credential Number | 1.015765 |
| Credential Type | Physician/Surgeon |
| Business Address |
Yale Univ School of Medicine New Haven CT 06520-8064 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1972-09-13 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163183 | CSP.0022913 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | YALE UNIV SCHOOL OF MEDICINE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06520-8064 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard R Pelker Md | Yale Univ School of Medicine, New Haven, CT 06510 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Martina Brueckner | Yale Univ School of Medicine, New Haven, CT 06510 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Richard L Edelson Md · Yale University | Yale Univ School of Medicine, New Haven, CT 06520-8059 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| George Miller Md | Yale Univ School of Medicine, New Haven, CT 06520-8064 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter W Marks Md | Yale Univ School of Medicine, New Haven, CT 06520-8021 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard E Peschel Md | Yale Univ School of Medicine, New Haven, CT 06520-8040 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Margretta R Seashore Md · Yale School of Medicine | Yale Univ School of Medicine, New Haven, CT 06510 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| James A Brink Md · Yale Univ School of Medicine | Yale Univ School of Medicine, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Stephen E Malawista Md | Yale Univ School of Medicine, New Haven, CT 06520-8031 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Diana Beardsley Md | Yale Univ School of Medicine, New Haven, CT 06520-8064 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erin A Nozetz | Pediatrics/yale University, New Haven, CT 06520-8064 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| William V Tamborlane Jr | Yale Univ Sch of Med, New Haven, CT 06520-8064 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Thomas O Carpenter Md | Yale Univ Sch of Med Dept of Pediatrics, New Haven, CT 06520-8064 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Robert W Elder | Po Box 208064, New Haven, CT 06520-8064 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Matthew J Bizzarro Md | Peds - 333 Cedar Street, New Haven, CT 06520-8064 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Naila Makhani | Section of Pediatric Neurology, New Haven, CT 06520-8064 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Richard A Ehrenkranz | Department of Pediatrics, New Haven, CT 06520-8064 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Jose M. Panisello Monjo | Dept. of Pediatrics/critical Care Medicine, New Haven, CT 06520-8064 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Joseph M Mcnamara Md | 333 Cedar Street, Lmp 2073, New Haven, CT 06520-8064 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Emily S Bisson | 333 Cedar Street Lmp 2073, New Haven, CT 06520-8064 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06520-8064 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Orchestra New England | P.o. Box 200123, New Haven, CT 06520 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Catherine A Dinauer | 333 Cedar St., Fmb 131, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kofi Agyare Mensah | 300 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kevin Huang | 330 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dr Akhil Khosla | 300 Cedar St, Tac S425 P.o. Box 208057, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Scott N Gettinger Md | 333 Cedar St-yale Cancer Center, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lindsay Sarah Mcalpine | Yale -new Haven Hospital, New Haven, CT 06520 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael Hurwitz | 333 Cedar St Www211, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Patrick M Popiel | Yale University, Department of Ob/gyn, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06520 | |||
| City | NEW HAVEN |
| Zip Code | 06520 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sally E Shaywitz Md | Dept of Pediatrics, New Haven, CT 06520-8064 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Steven J Bennett Do | 13 Cos Cob Ave Unit A, Cos Cob, CT 06807-2116 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Gomes S Arantes | 105 Bennett Ave, New York, NY 10033 | Physician/surgeon | 1992-04-24 ~ 1992-12-31 |
| Sumeet Goswami | 153 Bennett Ave, Apt 1e, New York, NY 10040 | Physician/surgeon | 2001-08-29 ~ 2002-07-31 |
| Matthew Bennett Ostrowitz | 5 Montebello Rd, Suffern, NY 10901 | Physician/surgeon | ~ |
| Alcuin D Bennett | 26890 Thompson Rd, Perrysburg, OH 43551 | Physician/surgeon | 1995-05-26 ~ 1996-05-31 |
| Kelly A Bennett | U.t. Medical Group, Memphis, TN 38163 | Physician/surgeon | 2002-05-06 ~ 2003-06-30 |
| William L Bennett | 20 York St Tompkins 209, New Haven, CT 06510-3220 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Nicholas J Bennett Md | 10 Ruthies Ln, West Simsbury, CT 06092 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Bennett S Goss Md | 106 Old Mill Road, Avon, CT 06001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).