SHIVALI GUPTA
Emergency Medical Technician


Address: 308 Derby Hall, Storrs Mansfield, CT 06269-7410

SHIVALI GUPTA (Credential# 1189998) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is February 25, 2016. The license expiration date date is June 30, 2019. The license status is INACTIVE.

Business Overview

SHIVALI GUPTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.017549. The credential type is emergency medical technician. The effective date is February 25, 2016. The expiration date is June 30, 2019. The business address is 308 Derby Hall, Storrs Mansfield, CT 06269-7410. The current status is inactive.

Basic Information

Licensee Name SHIVALI GUPTA
Credential ID 1189998
Credential Number 70.017549
Credential Type Emergency Medical Technician
Business Address 308 Derby Hall
Storrs Mansfield
CT 06269-7410
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-04-22
Effective Date 2016-02-25
Expiration Date 2019-06-30
Refresh Date 2019-09-28

Office Location

Street Address 308 DERBY HALL
City STORRS MANSFIELD
State CT
Zip Code 06269-7410

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Lauren Nicole Sheldon 2095 Hillside Rd, Storrs, CT 06269 Athletic Trainer 2020-02-01 ~ 2021-01-31
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Competitor

Search similar business entities

City STORRS MANSFIELD
Zip Code 06269
License Type Emergency Medical Technician
License Type + County Emergency Medical Technician + STORRS MANSFIELD

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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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