SAM SHEPPARD (Credential# 1434305) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
SAM SHEPPARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011472. The credential type is physical therapist. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 11 Cornell Road, Shoreham, NY 11786. The current status is active.
| Licensee Name | SAM SHEPPARD |
| Credential ID | 1434305 |
| Credential Number | 14.011472 |
| Credential Type | Physical Therapist |
| Business Address |
11 Cornell Road Shoreham NY 11786 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-26 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-08-02 |
| Street Address | 11 Cornell Road |
| City | Shoreham |
| State | NY |
| Zip Code | 11786 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Meagan C Sarcone | 58 N Country Rd, Shoreham, NY 11786 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| William A Scherer | 10 Salty Way, Shoreham, NY 11786 | Architect | 2019-08-01 ~ 2020-07-31 |
| Jamie A Rodina | 3 Bradley Dr, Shoreham, NY 11786 | Registered Nurse | 2009-09-01 ~ 2010-08-31 |
| Andrea R Stengel | 8 Ashley Lane, Shoreham, NY 11786 | Registered Nurse | 2008-09-09 ~ 2009-10-31 |
| Robert W Christensen | 14 Huck Finn Ln, Shoreham, NY 11786 | Electrical Unlimited Journeyperson | ~ |
| Harry D Ammon | 10 Vega Dr, Shoreham, NY 11786 | Plumbing & Piping Unlimited Journeyperson | ~ |
| Joan L Arata | P O Box 39, Shoreham, NY 11786 | Registered Nurse | 1996-09-06 ~ 1997-09-30 |
| Judith A Wanderer | 20 Harvard Rd, Shoreham, NY 11786 | Registered Nurse | 1992-08-26 ~ 1993-08-31 |
| Christopher J Edelstein | 4 Cornell Rd, Shoreham, NY 11786 | Physician Assistant | ~ |
| Brian J Mahoney | 7 Oliver Rd, Shoreham, NY 11786-1059 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 11786 | |||
| City | Shoreham |
| Zip Code | 11786 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + Shoreham |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carlos H Vargas | 818 Sheppard Street, Paranaque City, 1709 | Physical Therapist | ~ |
| Ellen M Sheppard | 1915 Winding Oak Way, Opelika, AL 36804-0576 | Physical Therapist Assistant | 2017-07-10 ~ 2018-06-30 |
| Adam M Sheppard | 9884 N Canyon Creek Lane, Fresno, CA 93720 | Physical Therapist | 2007-03-01 ~ 2008-04-30 |
| Jeffrey J Sheppard · Sheppard Tavern & Restaurant | 556 Boston Post Road, Guilford, CT 06437 | Restaurant Liquor | 2000-01-31 ~ 2001-01-30 |
| Gary W Sheppard · G W Sheppard Remodeling Plus | Po Box 414, New London, CT 06320 | Home Improvement Contractor | 2005-12-01 ~ 2006-11-30 |
| Jeffrey J Sheppard · Sheppard's Tavern | 5 Water St, Guilford, CT 06437-2861 | Cafe Liquor | 2019-12-29 ~ 2021-04-28 |
| Isaac Sheppard Jr · Sheppard Engineering | 1030 W Elmwood, Clawson, MI 48017 | Professional Engineer | 1987-02-03 ~ 1988-01-31 |
| Jeffrey James Sheppard · Sheppard's Tavern | 511 Water St, Guilford, CT 06437-3254 | Tavern Liquor | 2014-02-28 ~ 2015-02-27 |
| Paul R Sheppard | 257 Lester Rd, Griswold, CT 06351-1421 | Occupational Therapist | 2017-08-01 ~ 2019-07-31 |
| Sheiker, Sheppard & Associates, LLC | 835 Bloomfield Ave., Windsor, CT 06095 | Certified Public Accountant Firm Permit | 1996-01-17 ~ 1996-12-31 |
Please comment or provide details below to improve the information on SAM SHEPPARD.
| 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).