SHEA E GILLAN (Credential# 1248944) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
SHEA E GILLAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003224. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 3736 Fallon Rd # 111, Dublin, CA 94568-7400. The current status is active.
| Licensee Name | SHEA E GILLAN |
| Credential ID | 1248944 |
| Credential Number | 23.003224 |
| Credential Type | Physician Assistant |
| Business Address |
3736 Fallon Rd # 111 Dublin CA 94568-7400 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-10-21 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1248852 | CSP.0058834 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-10-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1075634 | 72.002884 | Paramedic | 2012-06-19 | 2018-05-01 - 2019-04-30 | INACTIVE |
| 847247 | 70.007514 | Emergency Medical Technician | 2006-07-19 | 2010-03-30 - 2013-03-31 | INACTIVE |
| Street Address | 3736 FALLON RD # 111 |
| City | DUBLIN |
| State | CA |
| Zip Code | 94568-7400 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amelia B Nichol | 4512 Central Pkwy, Dublin, CA 94568 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Freda O Boateng Md | 2795 Cathedral Rock Way, Dublin, CA 94568 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Nan Li | 2627 Bassetts Way, Dublin, CA 94568 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Ensaaf Inc | 4050 Chalk Hill Way, Dublin, CA 94568 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Michael C Levasseur | 3736 Fallon Rd, Dublin, CA 94568 | Paramedic | 2019-07-01 ~ 2020-06-30 |
| Fiona W. Chan | Po Box 2873, Dublin, CA 94568 | Pharmacist | 2016-02-01 ~ 2018-01-31 |
| On Light Sciences, Inc. | 7852 Starward Drive, Dublin, CA 94568 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2016-03-04 ~ |
| Gregory John Madalena | 3637 Dublin Blvd, Dublin, CA 94568 | Engineer-in-training | 2001-03-13 ~ 2011-03-13 |
| Jo A Hilton | 5300 Iron Horse Parkway, Suite 433, Dublin, CA 94568 | Hairdresser/cosmetician | 2008-10-31 ~ 2010-07-31 |
| Longs Drug Store #495 | 7201 Regional Street, Dublin, CA 94568 | Nonresident Pharmacy | 2004-09-01 ~ 2005-08-31 |
| Find all Licenses in zip 94568 | |||
| City | DUBLIN |
| Zip Code | 94568 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + DUBLIN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen M Shea | 182 Front St., New Haven, CT 06513 | Physician Assistant | 2017-10-01 ~ 2018-09-30 |
| Shea Muri Kozak | 114 Forest Drive, Wethersfield, CT 06109 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Eileen Rae Gillan | 282 Washington Street, Hartford, CT 06106 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kevin M Shea · Shea Shea & Mchugh Construction | 32 Washington St, Mystic, CT 06355 | Home Improvement Contractor | 2020-06-10 ~ 2020-11-30 |
| Anthony J Shea · A J Shea Construction Co | 192 Westbrook Rd, Essex, CT 06426-1511 | Home Improvement Contractor | 2000-12-01 ~ 2001-10-06 |
| Lindsay A Shea | 11 Allison Dr, Portland, CT 06480-1154 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Shea N Lagonigro | 114 Joyce Ct, Milford, CT 06461-1817 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Danielle M Jagoe | 20 Shea Ave Apt D, Milford, CT 06460-6154 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Alicia L Iafrate | 58 Shea Ave, Milford, CT 06460-6166 | Occupational Therapist Assistant | 2017-08-01 ~ 2019-07-31 |
| Jodi A Nejaimey-shea | 609 Merrow Rd., Tolland, CT 06084 | Physical Therapist Assistant | ~ 2006-11-01 |
Please comment or provide details below to improve the information on SHEA E GILLAN.
| 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).