NELSON H SHUB MD (Credential# 544049) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2018. The license expiration date date is December 31, 2018. The license status is INACTIVE.
NELSON H SHUB MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022246. The credential type is physician/surgeon. The effective date is January 1, 2018. The expiration date is December 31, 2018. The business address is 179 Country Club Dr, Oxford, CT 06478-1197. The current status is inactive.
| Licensee Name | NELSON H SHUB MD |
| Credential ID | 544049 |
| Credential Number | 1.022246 |
| Credential Type | Physician/Surgeon |
| Business Address |
179 Country Club Dr Oxford CT 06478-1197 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1980-07-07 |
| Effective Date | 2018-01-01 |
| Expiration Date | 2018-12-31 |
| Refresh Date | 2019-06-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 147616 | CSP.0009523 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE | |
| 198330 | CSP.0027013 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-03-01 - 2002-02-28 | INACTIVE | |
| 157887 | CSP.0018843 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1996-09-30 - 1997-02-28 | INACTIVE |
| Street Address | 179 COUNTRY CLUB DR |
| City | OXFORD |
| State | CT |
| Zip Code | 06478-1197 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul G Holub | 191 Country Club Dr, Oxford, CT 06478-1197 | Architect | 2020-08-01 ~ 2021-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robin M Michalak | 5 Macintosh Drive, Oxford, CT 06478 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Robin M Ambrosio | 3 Lolly Lane, Oxford, CT 06478 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoon Jeon | 312 Oxford Rd, Oxford, CT 06478 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Jacqueline R Sanz Pa | 221 Goodhill Rd, Oxford, CT 06478 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Sharon A Ritton-holly · Mcgowan | 5 Evergreen Lane, Oxford, CT 06478 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Anna B Valko | 6 Jem Woods Road, Oxford, CT 06478 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Southbury Baking Company LLC | 83 Prokop Road, Oxford, CT 06478 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Leanne C Hovhannissian | 25 Belinsky Circle, Oxford, CT 06478 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Andy Petitti | 5 Benson Road, Oxford, CT 06478 | Cross Connection Survey Inspector | 2020-04-01 ~ 2023-03-31 |
| Lynn Ann Wilkison | 6 Silano Drive, Oxford, CT 06478 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Find all Licenses in zip 06478 | |||
| City | OXFORD |
| Zip Code | 06478 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + OXFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Satish K Deshpande | 28 Nelson Rd, Scarsdale, NY 10583-5716 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Nelson A Bonheim | 12 Innis Ln, Old Greenwich, CT 06870-1706 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Jeffrey E Escher | 257 Nelson Rd, Scarsdale, NY 10583 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Joel E Nwosu-nelson | 476 Colfax Ave, Clifton, NJ 07013-1624 | Physician/surgeon | ~ |
| Martin J Nelson | 33 University Sq, Madison, WI 53715 | Physician/surgeon | 1998-01-20 ~ 1999-03-31 |
| James C Nelson | 22 Fernwood Rd, Hamden, CT 06517 | Physician/surgeon | 2002-02-04 ~ 2003-02-28 |
| Sabah Sultana Virani | 21 Nelson St., Toronto, ON M5V 3H9 | Physician/surgeon | 2019-04-03 ~ 2020-01-31 |
| Nelson T Chao | 4 Corporate Drive, Shelton, CT 06484 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Eric D Nelson Md | 15 Foxcroft Rd, West Hartford, CT 06119 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Debra Nelson | 1818 S Eastern Ave, Las Vegas, NV 89106 | Physician/surgeon | 1992-03-24 ~ 1993-03-31 |
Please comment or provide details below to improve the information on NELSON H SHUB MD.
| 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).