JASON Y SHEN (Credential# 984926) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
JASON Y SHEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049643. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 1768 Business Center Drive, Reston, VA 20190. The current status is active.
| Licensee Name | JASON Y SHEN |
| Credential ID | 984926 |
| Credential Number | 1.049643 |
| Credential Type | Physician/Surgeon |
| Business Address |
1768 Business Center Drive Reston VA 20190 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-03-30 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-09-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1161333 | CSP.0054618 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-05-06 | 2015-03-01 - 2017-02-28 | INACTIVE |
| 992896 | CSP.0049957 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-04-14 | 2011-04-14 - 2013-02-28 | INACTIVE |
| Street Address | 1768 Business Center Drive |
| City | Reston |
| State | VA |
| Zip Code | 20190 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brigette Prinzivalli-rolfe | 1768 Business Center Drive, Reston, VA 20190 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arshad Iqbal | 1768 Business Center Drive, Reston, VA 20190 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Susanna Elizabeth Horvath | 1768 Business Center Drive, Reston, VA 20190 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Christie Elaine Tung | 1768 Business Center Drive, Reston, VA 20190 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Michael Joseph Vecchione | 1768 Business Center Drive, Reston, VA 20190 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Mason C Gasper | 1768 Business Center Drive, Reston, VA 20190 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Theodore Tom Faber | 1768 Business Center Drive, Reston, VA 20190 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Carlos Eugenio Villar | 1768 Business Center Drive, Reston, VA 20190 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Tamara Thair Barghouthi | 1768 Business Center Drive, Reston, VA 20190 | Physician/surgeon | 2019-10-11 ~ 2020-10-31 |
| Paul Harry Singer | 1768 Business Center Drive, Reston, VA 20190 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lakshmi Reddy Beeravolu | 1768 Business Center Dr., Reston, VA 20190 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Dani Korya | 1768 Business Center Road, Reston, VA 20190 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Michael Ng | 1768 Business Center Dr, Reston, VA 20190 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| 2020 Eastern Region Conference · American Society of Appraisers | 11107 Sunset Hills Rd #310, Reston, VA 20190 | Appraisal Continuing Education Course (aal) | 2020-03-11 ~ 2023-03-11 |
| Kamaldeen R. Saldin | 1768 Business Center Dr Ste 100, Reston, VA 20190 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Wcp Highlander Housing LLC | 11710 Bowman Green Dr, Reston, VA 20190 | Securities - Exemptions | 2020-04-01 ~ |
| Mohini Uttam Gurme | 1768 Business Center Dr., Suite 100, Reston, VA 20190 | Physician/surgeon | ~ |
| Eric B Sklar Md | 1768 Business Center Road, Ste 100, Reston, VA 20190 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Heather D Zdimal | 1701 Lake Shore Crest Dr., Reston, VA 20190 | Occupational Therapist | 2017-08-01 ~ 2019-07-31 |
| Riot Ventures Opportunity V-11 C1, LLC | 11911 Freedom Dr., Reston, VA 20190 | Securities - Exemptions | 2019-10-18 ~ |
| Find all Licenses in zip 20190 | |||
| City | Reston |
| Zip Code | 20190 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Reston |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sripriya Shen | 615 W 131st St Fl 3, New York, NY 10027-7922 | Physician/surgeon | ~ |
| Wen Hui Shen | 7124 Manila Ave, El Cerrito, CA 94530 | Physician/surgeon | 1994-05-27 ~ 1995-02-28 |
| Charles H Shen Md | 116 Hill Street 20, Milford, CT 06460 | Physician/surgeon | 2005-03-11 ~ 2006-03-31 |
| Michael Shen Md | 183 Raven Terrace, Stratford, CT 06497 | Physician/surgeon | 1999-04-07 ~ 2000-04-30 |
| Lucy Shen-sye | 68 Lantern Drive, Stamford, CT 06905 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Peter U Shen | 99 E River Dr Fl 5, East Hartford, CT 06108-7301 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Meng Shen | 6223 Maplebrook Ln., Flint, MI 48507 | Physician/surgeon | 2018-09-26 ~ 2019-05-31 |
| Neysa V Shen | 25875 N. Arrowhead Dr., Long Grove, IL 60060 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Shen Zhen Aok Tooling Co Ltd | No 3 of Long Tian No 3 Rd, Ping Shan New Dist, Shen Zhen, CH 518118 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Wk Weiguan (shen Zhen) | Fu Min Village Guan Lan Town, Shen Zhen | Manufacturer of Bedding & Upholstered Furniture | 2014-05-01 ~ 2015-04-30 |
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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).