SHANNON E FULTZ
Licensed Practical Nurse


Address: 318 Fern St, Manchester, CT 06040-6600

SHANNON E FULTZ (Credential# 1152181) is licensed (Licensed Practical Nurse) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.

Business Overview

SHANNON E FULTZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #11.037940. The credential type is licensed practical nurse. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 318 Fern St, Manchester, CT 06040-6600. The current status is active.

Basic Information

Licensee Name SHANNON E FULTZ
Credential ID 1152181
Credential Number 11.037940
Credential Type Licensed Practical Nurse
Business Address 318 Fern St
Manchester
CT 06040-6600
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-04-10
Effective Date 2019-10-01
Expiration Date 2020-09-30
Refresh Date 2019-10-02

Other licenses

ID Credential Code Credential Type Issue Term Status
735216 20.051655 Hairdresser/Cosmetician 2002-05-21 2010-10-01 - 2012-09-30 INACTIVE

Office Location

Street Address 318 FERN ST
City MANCHESTER
State CT
Zip Code 06040-6600

Licenses in the same zip code

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Mary Fosuah Nketia 61 Cougar Drive, Manchester, CT 06040 Registered Nurse 2020-08-01 ~ 2021-07-31
New Seasons Inc. 164 East Center Street, Manchester, CT 06040 Public Charity 2019-06-01 ~ 2020-05-31
Kaylen Lam 60 Chlistone Lane, Manchester, CT 06040 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Matilde Altamirano 415 Gardner Street, Manchester, CT 06040 Nail Technician 2020-06-27 ~ 2022-04-30
Meilan Meilan Chen 174 Middle Tpke, Manchester, CT 06040 Nail Technician ~
Prince Acheampong 32 Bigelow Street, Manchester, CT 06040 Notary Public Appointment ~
Erin C Boyle 470 Porter Street, Manchester, CT 06040 Registered Nurse 2020-07-01 ~ 2021-06-30
Dejone Mitchell 64 Ruby Dr Apt. P, Manchester, CT 06040 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Andrea H Clifford 116 Longview Drive, Manchester, CT 06040 Licensed Practical Nurse 2020-09-01 ~ 2021-08-31
Tabia Thornton-bey 103 Walek Farms Road, Manchester, CT 06040 Licensed Clinical Social Worker 2020-07-01 ~ 2021-06-30
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Competitor

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City MANCHESTER
Zip Code 06040
License Type Licensed Practical Nurse
License Type + County Licensed Practical Nurse + MANCHESTER

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Shannon M Burr 253 Shagbark Dr, Bristol, CT 06010 Licensed Practical Nurse 2020-06-01 ~ 2021-05-31
Shannon M Ball 3 1/2 Dewey Ave, Terryville, CT 06786-6339 Licensed Practical Nurse 2011-11-01 ~ 2012-10-31
Shannon P Eddy 443 Glen St, New Britain, CT 06051-3407 Licensed Practical Nurse 2019-11-01 ~ 2020-10-31
Shannon L Wilson 25 Melville St, Bristol, CT 06010-6408 Licensed Practical Nurse 2019-09-01 ~ 2020-08-31
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Dataset Information

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).

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