ANDREW D SHILLER (Credential# 564033) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
ANDREW D SHILLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046451. The credential type is physician/surgeon. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 103 Holmes Rd, Ridgefield, CT 06877-4304. The current status is active.
| Licensee Name | ANDREW D SHILLER |
| Credential ID | 564033 |
| Credential Number | 1.046451 |
| Credential Type | Physician/Surgeon |
| Business Address |
103 Holmes Rd Ridgefield CT 06877-4304 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-04-23 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-07-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 503137 | CSP.0043535 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-05-19 | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 103 HOLMES RD |
| City | RIDGEFIELD |
| State | CT |
| Zip Code | 06877-4304 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 1 Pine Tree Drive LLC | 103 Holmes Rd, Ridgefield, CT 06877-4304 | New Home Construction Contractor | 2017-09-28 ~ 2019-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia Gernert | 175 Holmes Rd, Ridgefield, CT 06877-4304 | Behavior Analyst | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Morrin | 169 Nod Road, Ridgefield, CT 06877 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Elena Yakimova | 8 Lawson Lane, Ridgefield, CT 06877 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Jasmine Gannalo | 35 Clearview Dr, Ridgefield, CT 06877 | Esthetician | 2020-06-26 ~ 2022-06-30 |
| Nicole A Van Alstyne | 105 Stonecrest Road, Ridgefield, CT 06877 | Real Estate Salesperson | ~ |
| Andrea A Delange · Ledina | 5 Copper Beech Lane, Ridgefield, CT 06877 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Mitchell O Hubsher | 77 Chestnut Hill Road, Ridgefield, CT 06877 | Naturopathic Physician | 2020-07-01 ~ 2021-06-30 |
| Milillo Farms | 424 R Main St, Ridgefield, CT 06877 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Marie G Donofrio | 36 Woodlawn Dr, Ridgefield, CT 06877 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer M Kinford | 40 Woodland Way, Ridgefield, CT 06877 | Esthetician | ~ |
| Lauren Elizabeth Pambianchi | 49 11 Levels Road, Ridgefield, CT 06877 | Registered Nurse | ~ |
| Find all Licenses in zip 06877 | |||
| City | RIDGEFIELD |
| Zip Code | 06877 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + RIDGEFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew S Hsu Md | 276 1st Ave, Milford, CT 06460-5209 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Andrew J Panettieri | Rt 7 So Po Box 282, Shelburne, VT 05482 | Physician/surgeon | 1998-01-02 ~ 1999-01-31 |
| Andrew Blazar | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | ~ |
| Andrew S Whyte Do | 17 Hi Ann Ct, Bethany, CT 06524-3259 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Andrew Scatola | 80 Seymour St, Hartford, CT 06102 | Physician/surgeon | ~ |
| Andrew J. Illig | 390 1st Ave Apt 9c, New York, NY 10010-6521 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Andrew Le | 701 5th Avenue, Seattle, WA 98104 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Andrew W Litt | New York, NY 10024 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Andrew E Price | 530 First Ave, New York, NY 10016 | Physician/surgeon | 1998-03-04 ~ 1999-03-31 |
| Andrew S Gee | 116 Ardmore Rd, W Hartford, CT 06119 | Physician/surgeon | 2001-06-29 ~ 2002-06-30 |
Please comment or provide details below to improve the information on ANDREW D SHILLER.
| 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).