MARK J SHACKFORD
Emergency Medical Technician


Address: 12 Balaban Rd Apt 502, Colchester, CT 06415-1793

MARK J SHACKFORD (Credential# 1307262) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is December 15, 2015. The license expiration date date is April 1, 2018. The license status is INACTIVE.

Business Overview

MARK J SHACKFORD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.020012. The credential type is emergency medical technician. The effective date is December 15, 2015. The expiration date is April 1, 2018. The business address is 12 Balaban Rd Apt 502, Colchester, CT 06415-1793. The current status is inactive.

Basic Information

Licensee Name MARK J SHACKFORD
Credential ID 1307262
Credential Number 70.020012
Credential Type Emergency Medical Technician
Business Address 12 Balaban Rd Apt 502
Colchester
CT 06415-1793
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2015-12-15
Effective Date 2015-12-15
Expiration Date 2018-04-01
Refresh Date 2018-07-05

Office Location

Street Address 12 BALABAN RD APT 502
City COLCHESTER
State CT
Zip Code 06415-1793

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Whitney M Rupert 12 Balaban Rd Apt 502, Colchester, CT 06415-1793 Emergency Medical Technician 2015-10-15 ~ 2018-04-01

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
David A Cook IIi 12 Balaban Rd Apt 504, Colchester, CT 06415-1793 Non-water Supply Driller ~

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Alicia R Bohnenkamper 906 Canterbury Lane, Colchester, CT 06415 Notary Public Appointment 2011-09-28 ~ 2016-09-30
Anna M Sofia 75 B Elmwood Heights, Colcheshter, CT 06415 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City COLCHESTER
Zip Code 06415
License Type Emergency Medical Technician
License Type + County Emergency Medical Technician + COLCHESTER

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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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