GREGORY L SHANGOLD (Credential# 557831) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
GREGORY L SHANGOLD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.040248. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 66 Beacon Hill Drive, Storrs, CT 06268. The current status is active.
| Licensee Name | GREGORY L SHANGOLD |
| Credential ID | 557831 |
| Credential Number | 1.040248 |
| Credential Type | Physician/Surgeon |
| Business Address |
66 Beacon Hill Drive Storrs CT 06268 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-03-18 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 297259 | CSP.0031730 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 66 Beacon Hill Drive |
| City | STORRS |
| State | CT |
| Zip Code | 06268 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Craig D Sweeney Md | 7 Eastwood Rd, Storrs, CT 06268 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Scott W Edington | 414 Woodland Rd., Storrs, CT 06268 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Diane Boudreau | 999 Stafford Rd, Storrs, CT 06268 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Prabha Pokhrel | 239 Baxter Road, Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jacqueline M Russell | 127b Dog Lane, Mansfield, CT 06268 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Carrie Ann Waldron | 829 Stafford Rd., Storrs, CT 06268 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Scott Forand · Scott Forand Construction | 17 Cedar Swamp Rd, Storrs, CT 06268 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Carrie Silver-bernstein | 56 Jonathan Lane, Mansfield, CT 06268 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Stafford Road C-75 | 1279 Stafford Road, Storrs, CT 06268 | Public Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Middle Turnpike | 505 Middle Turnpike, Storrs, CT 06268 | Public Community Living Arrangement | 2018-12-01 ~ 2020-11-30 |
| Find all Licenses in zip 06268 | |||
| City | STORRS |
| Zip Code | 06268 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STORRS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gregory C Cadman | 7 Lighthouse Ln, Old Greenwich, CT 06870-2310 | Physician/surgeon | ~ |
| Gregory K Russo | 67 Lords Hwy, Weston, CT 06883-1714 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Gregory E Mccarthy | 109 E Cherry Pl, Deland, FL 32724-8849 | Physician/surgeon | 2016-12-01 ~ 2017-11-30 |
| Gregory K Buller | 267 Grant St, Bridgeport, CT 06610-2805 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Gregory M Colodner | 133 Scovill St, Waterbury, CT 06706-1127 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Gregory A Rutkowski Md | 44 Canterbury Rd, Berlin, CT 06037-3706 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Gregory Fiasconaro IIi | 54 Tridell Dr, Plantsville, CT 06479 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Gregory Chu | 45 Main Street, Wareham, MA 02571 | Physician/surgeon | 2008-08-29 ~ 2009-09-30 |
| Gregory R Criscuolo Md | 330 Washington St, Norwich, CT 06360 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Gregory Isenberg Md | 580 Farmington Ave, Hartford, CT 06105-3050 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on GREGORY L SHANGOLD.
| 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).