KOSHA K SHAH DDS (Credential# 901990) 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 ACTIVE.
KOSHA K SHAH DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046921. 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 11 Grace St, Fairfield, CT 06825-7415. The current status is active.
| Licensee Name | KOSHA K SHAH DDS |
| Credential ID | 901990 |
| Credential Number | CSP.0046921 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
11 Grace St Fairfield CT 06825-7415 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-11-04 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-19 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 893834 | 2.010127 | Dentist | 2009-09-22 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 11 GRACE ST |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-7415 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raffaele Longo | 99 Grace St, Fairfield, CT 06825-7415 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Christina D Holloway | 97 Grace St, Fairfield, CT 06825-7415 | Registered Nurse | 2015-05-01 ~ 2016-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander M Testani | 77 Winoca Rd, Fairfield, CT 06825 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
| Salome Cleopatra Nail | 2399 Black Rock Turnpike, Fairfield, CT 06825 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Angela M Carmona | 198 Castle Ave, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maria D Coutinho | 131 Roseville Street, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jie Che | 1519 Black Rock Tpke, Fairfield, CT 06825 | Esthetician | ~ |
| Eva I Chiamulera | 86 Brookfield Avenue, Fairfield, CT 06825 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Suzanne P Taluy | 558 Villa Ave, Fairfield, CT 06825 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Benjamin Allan Gott | 262 Euclid Avenue, Fairfield, CT 06825 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Charles J Applebaum | 841 Stratfield Rd, Fairfield, CT 06825 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Jeri Kriskey | 1179 Merritt Street, Fairfield, CT 06825 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Find all Licenses in zip 06825 | |||
| City | FAIRFIELD |
| Zip Code | 06825 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hajra Shah | Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Shivani S Shah | 423 E 90th St Apt 6 F, New York, NY 10128-4236 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Shailaja K Shah Md | 11 Kershaw Ct, Bridgewater, NJ 08807 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Dhara K Shah | 61 Royal Dr Apt 216, Piscataway, NJ 08854-3455 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Manasi M Shah Md | 23 Mattabasset Dr, Meriden, CT 06450-7427 | Controlled Substance Registration for Practitioner | 2013-03-07 ~ 2015-02-28 |
| Sanjay N Shah | 31 Westwood Dr, Massena, NY 13662 | Controlled Substance Registration for Practitioner | 2015-04-03 ~ 2017-02-28 |
| Parth S Shah | 10 Norwood Way, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Parin R Shah | 294 Echelon Rd Apt 7, Voorhees, NJ 08043-2441 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Aman Shah | 900 Chapel St, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lina Shah | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
Please comment or provide details below to improve the information on KOSHA K SHAH DDS.
| 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).