KRISTINA SHEPHERD (Credential# 1215743) is licensed (Licensed Nurse Midwife) with Connecticut Department of Consumer Protection. The license effective date is January 29, 2015. The license expiration date date is March 31, 2015. The license status is INACTIVE.
KRISTINA SHEPHERD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #16.000398. The credential type is licensed nurse midwife. The effective date is January 29, 2015. The expiration date is March 31, 2015. The business address is 296 Rochambeau Avenue, Providence, RI 02906. The current status is inactive.
| Licensee Name | KRISTINA SHEPHERD |
| Credential ID | 1215743 |
| Credential Number | 16.000398 |
| Credential Type | Licensed Nurse Midwife |
| Business Address |
296 Rochambeau Avenue Providence RI 02906 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-01-29 |
| Effective Date | 2015-01-29 |
| Expiration Date | 2015-03-31 |
| Refresh Date | 2015-07-06 |
| Street Address | 296 Rochambeau Avenue |
| City | Providence |
| State | RI |
| Zip Code | 02906 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| The Stephen C. Rose Legacy Foundation · The Steve Fund | 138 Governor Street, Providence, RI 02906 | Public Charity | 2020-06-12 ~ 2021-11-30 |
| Moriah Connor | 211 Waterman Street, Unit 20, Providence, RI 02906 | Behavior Analyst | ~ |
| Elizabeth Burns | 198 Camp Street, Providence, RI 02906 | Licensed Clinical Social Worker | ~ |
| Christine Montross | 345 Blackstone Blvd, Providence, RI 02906 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Susan Dickstein | 196 Freeman Parkway, Providence, RI 02906 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Victoria S Karlsen | 415 Angell St, Providence, RI 02906 | Behavior Analyst | ~ |
| John W O'bell Md | 14 Rose Ct., Providence, RI 02906 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Alexandria Hanul Simon | 323 Angell Street, Providence, RI 02906 | Emergency Medical Technician | ~ |
| Molly A Moran | 202 Sixth Street, Providence, RI 02906 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Simon M Cornelissen | 45 Balton Rd, Providence, RI 02906 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 02906 | |||
| City | Providence |
| Zip Code | 02906 |
| License Type | Licensed Nurse Midwife |
| License Type + County | Licensed Nurse Midwife + Providence |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pamela K Shepherd · Shepherd | 3 Pequot Sq, Mansfield Center, CT 06250-1564 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Lori Shepherd Daugherty | 354 Shepherd Court, Taylorsville, NC 28681 | Registered Nurse - Temporary | 2016-09-29 ~ 2017-01-26 |
| Eva V Garcia Lnm | 101 Avon St, New Haven, CT 06511 | Licensed Nurse Midwife | 2014-06-01 ~ 2015-05-31 |
| Maren E Robertson Lnm | 53 Fox Run Ln, Mystic, CT 06355 | Licensed Nurse Midwife | 2012-04-01 ~ 2013-03-31 |
| Eileen Smith Lnm | 35 Strickland Rd, Cos Cob, CT 06807 | Licensed Nurse Midwife | 2012-06-01 ~ 2013-05-31 |
| Donna Schmutzler | Rt 5 Box 422, Rogers, AR 72756 | Licensed Nurse Midwife | ~ 1995-05-31 |
| Jenna Hutchens | 745 E 6th St Apt 5b, New York, NY 10009-6994 | Licensed Nurse Midwife | 2020-03-01 ~ 2021-02-28 |
| Debra J O'connell Lnm | 77 Oak St#1, Florence, MA 01062 | Licensed Nurse Midwife | 2004-04-20 ~ 2005-04-30 |
| Michelle G Palmer | Po Box 209, Charlestown, RI 02813 | Licensed Nurse Midwife | 2009-03-20 ~ 2010-01-31 |
| Christina M Polesky | 437 Westway Rd, Southport, CT 06890-1458 | Licensed Nurse Midwife | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on KRISTINA SHEPHERD.
| 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).