ANDREW C SHANNON (Credential# 1214654) is licensed (Physical Therapist) 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.
ANDREW C SHANNON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.010264. The credential type is physical therapist. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 15 Andover Rd, Stamford, CT 06902-4415. The current status is active.
| Licensee Name | ANDREW C SHANNON |
| Credential ID | 1214654 |
| Credential Number | 14.010264 |
| Credential Type | Physical Therapist |
| Business Address |
15 Andover Rd Stamford CT 06902-4415 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-08-01 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-11-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 943325 | 54.000651 | Athletic Trainer | 2010-07-13 | 2019-11-01 - 2020-10-31 | ACTIVE |
| 1226358 | 14.010142-TEMP | PT Temporary Permit | 2014-06-03 | 2014-06-03 - 2014-08-01 | INACTIVE |
| Street Address | 15 ANDOVER RD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-4415 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Irving A Andrade | 155 Waterbury Ave, Stamford, CT 06902-4415 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Nicola A Donnelly | 35 Andover Rd, Stamford, CT 06902-4415 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Hind Mansouri | 25 Andover Rd, Stamford, CT 06902-4415 | Family Child Care Home | 2018-11-01 ~ 2022-10-31 |
| Bradley D Shelley | 29 Andover Rd, Stamford, CT 06902-4415 | Emergency Medical Technician | 2019-08-07 ~ 2022-06-30 |
| Gregg Phillipson · Spartan Renovations | 19 Andover Rd, Stamford, CT 06902-4415 | Emergency Medical Responder | 2015-04-15 ~ 2018-09-30 |
| Khalid Kairouani | 25 Andover Rd, Stamford, CT 06902-4415 | Family Child Care Substitute | 2019-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shannon Pimentel | 16 Bay St., Fairhaven, MA 06719 | Physical Therapist | 1999-11-02 ~ 2000-06-30 |
| Shannon M O'leary | 378 Farmington Ave, New Britain, CT 06053-2357 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Timothy M Shannon | 219 Clarke Rd, Lebanon, CT 06249 | Physical Therapist | 1999-07-13 ~ 2000-07-31 |
| Shannon M Cronin | 849 Whitney Ave Apt 1, Hamden, CT 06517-4001 | Physical Therapist | 2018-02-01 ~ 2019-01-31 |
| Shannon E Gray | 507 Pumpkin Hill Rd, Ledyard, CT 06339-1637 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Shannon L Morin | 375 Randall Road, Lewiston, ME 04240 | Physical Therapist | 1999-04-05 ~ 2000-03-31 |
| Shannon C Defilippo | 257 Bruce Park Ave Apt 2, Greenwich, CT 06830-2702 | Physical Therapist | 2015-06-01 ~ 2016-05-31 |
| Maureen Shannon | 301 George St, Middletown, CT 06457-6708 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
| Shannon M Lane | 223 Pleasant St, New Britain, CT 06051-2827 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
| Shannon Elyse Winslow | 18 Christina Ct, Clinton, CT 06413-1046 | Physical Therapist | 2018-11-01 ~ 2019-11-30 |
Please comment or provide details below to improve the information on ANDREW C SHANNON.
| 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).