SHELBY S SHAMIR (Credential# 1345516) is licensed (Physician Assistant) 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.
SHELBY S SHAMIR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003973. The credential type is physician assistant. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 8 Oak Brook Ln, Merrick, NY 11566-3227. The current status is active.
| Licensee Name | SHELBY S SHAMIR |
| Credential ID | 1345516 |
| Credential Number | 23.003973 |
| Credential Type | Physician Assistant |
| Business Address |
8 Oak Brook Ln Merrick NY 11566-3227 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-10-02 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-10-11 |
| Street Address | 8 OAK BROOK LN |
| City | MERRICK |
| State | NY |
| Zip Code | 11566-3227 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shannon Henning | 34 Cliff Road, Merrick, NY 11566 | Physician/surgeon | ~ |
| Marla Sue Sheflin | 2867 Beach Drive, Merrick, NY 11566 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Leobiury Garcia | 1934 Edward Lane, Merrick, NY 11566 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Bruce J Diamond | 1810 Relyea Drive, Merrick, NY 11566 | Tax Preparer/facilitator Permit | 2020-02-08 ~ 2022-02-28 |
| Brian M Rohan | 158 Loines Ave, Merrick, NY 11566 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Imtiaz Mulla | 90 Frankel Blvd, Merrick, NY 11566 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Mitzi Nadeige Dort | 1828 Remson Avenue, Merrick, NY 11566 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Brian T O'donnell | 1785 Carlisle Pl, Merrick, NY 11566 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Alberto Lopez | 1643 Demott Court, North Merrick, NY 11566 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Gina Marie Bayne | 2124 Burke Place, Merrick, NY 11566 | Notary Public Appointment | 2009-09-25 ~ 2014-09-30 |
| Find all Licenses in zip 11566 | |||
| City | MERRICK |
| Zip Code | 11566 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MERRICK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shelby Finan | 19b New London Tpke, Mystic, CT 06355-3637 | Physician Assistant | ~ |
| Tiffanie Nguyen | 3 Shelby Dr, Wallingford, CT 06492-3413 | Physical Therapist Assistant | ~ |
| Shelby A Sarracco | 83 Grabherr Rd., Thomaston, CT 06787 | Physical Therapist Assistant | 2019-11-01 ~ 2020-10-31 |
| Shelby L Zawistowski | 36 Dodge Ave., Pittsfield, MA 01251 | Physical Therapist Assistant | 2006-02-02 ~ 2006-11-01 |
| Shelby L Huffaker | 2 Plumtree Drive Apt D, Norwich, CT 06360-7518 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
| Shamir Husainzada | 8149 Quiet Knolls Dr, Antelope, CA 95843-4838 | Home Improvement Salesperson | 2016-04-22 ~ 2016-11-30 |
| Shelby Hollingsworth | 29 Driscoll Road, Branford, CT 06405 | Family Child Care Assistant | 2011-03-08 ~ 2013-03-31 |
| Shelby 5 | 1285 East Putnam Ave, Old Greenwich, CT 06870 | Retail Gasoline Dealer | 2001-02-20 ~ 2001-10-31 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Teresa G Seen · Guettler | 1803 Arbor Way, Shelby, NC 28150 | Physician/surgeon | 1995-03-20 ~ 1996-03-31 |
Please comment or provide details below to improve the information on SHELBY S SHAMIR.
| 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).