SHANNON E GRALEY (Credential# 1173295) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
SHANNON E GRALEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052347-DO. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 214 Woodstock Road, Woodstock, CT 06281. The current status is active.
| Licensee Name | SHANNON E GRALEY |
| Credential ID | 1173295 |
| Credential Number | 1.052347-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
214 Woodstock Road Woodstock CT 06281 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-08-22 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1177073 | CSP.0055777 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-08-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 214 Woodstock Road |
| City | WOODSTOCK |
| State | CT |
| Zip Code | 06281 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Annie B Barlow | 40 W Quasset Road, Woodstock, CT 06281 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Casey L Vinton | 200 Old Hall Rd., Woodstock, CT 06281 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joel F Theriaque · Mansion At Bald Hill (the) | 144 Bald Hill Rd, Woodstock, CT 06281 | Hotel Liquor (10000 Or Less Population) | 2019-10-09 ~ 2021-02-08 |
| Carl St. Jean | 125 Child Hill Rd, Woodstock, CT 06281 | Sub-surface Sewage Installer | 2020-07-01 ~ 2021-06-30 |
| Beth E Thayer | 109 Child Hill Road, Woodstock, CT 06281 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Ramona L Geotis | 49 Old Hall Road, Woodstock, CT 06281 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Cheryl J Dziura-duke | 40 Lebanon Hill Road, Woodstock, CT 06281 | Dietitian/nutritionist | 2020-09-01 ~ 2021-08-31 |
| Holly L Harder | 891 Brickyard Rd, Woodstock, CT 06281 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Mark Labonte · Labonte Construction | 70 Joy Rd, Woodstock, CT 06281 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
| Louise Downer | 262 East Quassett Road, Woodstock, CT 06281 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Find all Licenses in zip 06281 | |||
| City | WOODSTOCK |
| Zip Code | 06281 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WOODSTOCK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Graley | 36 Graley Meadows Ln, Poca, WV 25159-7420 | Registered Nurse - Temporary | 2020-04-20 ~ 2020-08-18 |
| Shannon M Hogan Do | 185 Rye Cir, South Burlington, VT 05403-7648 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Shannon Drew Md | 291 Whitney Ave Ste 303, New Haven, CT 06511-3764 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Craig M Shannon | 47 Kingwood Dr, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Shannon Henning | 34 Cliff Road, Merrick, NY 11566 | Physician/surgeon | ~ |
| Timothy M Shannon | 155 Stony Creek Rd, Branford, CT 06405-3201 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Shannon Elizabeth O'malley | 20 York St, New Haven, CT 06510-3220 | Physician/surgeon | 2020-03-19 ~ 2020-08-31 |
| Shannon A Cohane | 142-25 Elsie Lane, Toronto, ON M6P 3N3 | Physician/surgeon | 2010-07-01 ~ 2011-06-30 |
| Shannon C Peterson | 42 Sulgrave Rd, West Hartford, CT 06107 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Shannon O'hern Mcnamara | 545 First Avenue, New York, NY 10016 | Physician/surgeon | 2020-01-29 ~ 2020-08-31 |
Please comment or provide details below to improve the information on SHANNON E GRALEY.
| 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).