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.
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.
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 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
735216 | 20.051655 | Hairdresser/Cosmetician | 2002-05-21 | 2010-10-01 - 2012-09-30 | INACTIVE |
Street Address | 318 FERN ST |
City | MANCHESTER |
State | CT |
Zip Code | 06040-6600 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
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 |
Find all Licenses in zip 06040 |
City | MANCHESTER |
Zip Code | 06040 |
License Type | Licensed Practical Nurse |
License Type + County | Licensed Practical Nurse + MANCHESTER |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Heather L Fultz | 41 1/2 Garden St, Manchester, CT 06040-5083 | Licensed Practical Nurse | 2020-03-01 ~ 2021-02-28 |
Shannon Womack | 24 Kimball Dr, New Britain, CT 06051-3337 | Licensed Practical Nurse | ~ |
Shannon Elizabeth Ney | 61 Puritan Dr, Middletown, RI 02842-4410 | Licensed Practical Nurse | ~ |
Albert / Fultz Foundation Inc (the) | 247 Tolland Tpke # B, Willington, CT 06279-1516 | Bazaar Permit Class 3 | 2017-09-07 ~ 2017-09-10 |
Shannon Sewell | 166 Hobart St, Meriden, CT 06450-4324 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
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 |
Shannon S Roane | 59 Green St # B, Hartford, CT 06120-2513 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
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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).