SHANE KIM (Credential# 1439370) is licensed (Emergency Medical Responder) with Connecticut Department of Consumer Protection. The license effective date is July 31, 2017. The license expiration date date is March 31, 2020. The license status is ACTIVE IN RENEWAL.
SHANE KIM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #69.015857. The credential type is emergency medical responder. The effective date is July 31, 2017. The expiration date is March 31, 2020. The business address is 11 Interlaken Rd, Lakeville, CT 06039-2141. The current status is active in renewal.
| Licensee Name | SHANE KIM |
| Credential ID | 1439370 |
| Credential Number | 69.015857 |
| Credential Type | Emergency Medical Responder |
| Business Address |
11 Interlaken Rd Lakeville CT 06039-2141 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE IN RENEWAL - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-31 |
| Effective Date | 2017-07-31 |
| Expiration Date | 2020-03-31 |
| Refresh Date | 2017-08-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1450260 | 69 | Emergency Medical Responder | - | PENDING |
| Street Address | 11 INTERLAKEN RD |
| City | LAKEVILLE |
| State | CT |
| Zip Code | 06039-2141 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anju Taneja | 11 Interlaken Rd, Lakeville, CT 06039-2141 | Emergency Medical Technician | 2020-01-01 ~ 2022-12-31 |
| Paula A Russo | 11 Interlaken Rd, Lakeville, CT 06039-2141 | Emergency Medical Technician | 2020-01-01 ~ 2022-12-31 |
| Abigail C Powell | 11 Interlaken Rd, Lakeville, CT 06039-2141 | Emergency Medical Responder | 2019-05-23 ~ 2022-03-31 |
| Yuka Masamura | 11 Interlaken Rd, Lakeville, CT 06039-2141 | Emergency Medical Responder | 2019-05-15 ~ 2022-03-31 |
| Jiahua Chen | 11 Interlaken Rd, Lakeville, CT 06039-2141 | Emergency Medical Responder | 2019-05-15 ~ 2022-03-31 |
| Jack A Shrewsbury | 11 Interlaken Rd, Lakeville, CT 06039-2141 | Emergency Medical Responder | 2019-05-15 ~ 2022-03-31 |
| Jared Zelman Md | 11 Interlaken Rd, Lakeville, CT 06039-2141 | Emergency Medical Technician | 2020-02-10 ~ 2021-12-31 |
| Hotchkiss J. Wieler Infirmary | 11 Interlaken Rd, Lakeville, CT 06039-2141 | Infirmary Operated By An Educational Institution | 2019-07-01 ~ 2021-06-30 |
| Caroline M Zhang | 11 Interlaken Rd, Lakeville, CT 06039-2141 | Emergency Medical Responder | 2018-07-27 ~ 2021-04-01 |
| Michael Zhang | 11 Interlaken Rd, Lakeville, CT 06039-2141 | Emergency Medical Responder | 2018-07-27 ~ 2021-04-01 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mizza's Pizza | 6 Ethan Allen St., Lakeville, CT 06039 | Bakery | 2020-07-01 ~ 2021-06-30 |
| William F Willis | P.o. Box 1733 30 Upland Meadow Road, Lakeville, CT 06039 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Birgit E Jensen · Gesthuysen | Po Box 1841, Lakeville, CT 06039 | Massage Therapist | 2020-09-01 ~ 2022-08-31 |
| Laura Jeanblanc | 21 Chatfield Dr, Lakeville, CT 06039 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Tracy Ann Macgowan | 51 Chatfield Drive, Lakeville, CT 06039 | Real Estate Salesperson | ~ |
| Juliet W Moore | 446 Wells Hill Road, Lakeville, CT 06039 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Elizabeth Demetriades · Elizabeth Demetriades Architecture | 11 Brook St, Lakeville, CT 06039 | Architect | 2020-08-01 ~ 2021-07-31 |
| Victoria L Aftel · Patorno | 5 Greystone La, Lakeville, CT 06039 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Leslie Irene Bell | 5 Reservoir Rd, Lakeville, CT 06039 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Susan G Vreeland | 331 Wells Hill Rd, Lakeville, CT 06039 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06039 | |||
| City | LAKEVILLE |
| Zip Code | 06039 |
| License Type | Emergency Medical Responder |
| License Type + County | Emergency Medical Responder + LAKEVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shane M Ham | 29 Bassett St, Ansonia, CT 06401-2159 | Emergency Medical Responder | 2011-03-10 ~ 2014-01-01 |
| Shane Porter | 6 Michelle Ln, Naugatuck, CT 06770-2151 | Emergency Medical Responder | 2019-10-01 ~ 2022-09-30 |
| Shane A Mebane | 253 High St, Hartford, CT 06103-1041 | Emergency Medical Responder | 2019-06-05 ~ 2022-03-31 |
| Shane M Gibson | 174 South Ave, New Canaan, CT 06840-5728 | Emergency Medical Responder | 2018-03-23 ~ 2021-01-01 |
| Shane P Burns | 80 Coppermill Rd, Wethersfield, CT 06109-4008 | Emergency Medical Responder | 2019-01-01 ~ 2021-12-31 |
| Shane M Murphy | 19 Neal Ct, Plainville, CT 06062-1603 | Emergency Medical Responder | 2019-07-01 ~ 2022-06-30 |
| Shane A Russell | 107 Harvest Ln, Milford, CT 06461-1783 | Emergency Medical Responder | 2019-09-19 ~ 2022-06-30 |
| Shane Dufresne | 19 Neal Ct, Plainville, CT 06062-1603 | Emergency Medical Responder | 2019-07-01 ~ 2022-06-30 |
| Shane Courtright | 72 Cowles Rd, Willington, CT 06279-1704 | Emergency Medical Responder | 2018-05-04 ~ 2021-01-01 |
| Shane P Duhamel | 264 Village St, Northford, CT 06472-1406 | Emergency Medical Responder | 2016-05-17 ~ 2016-07-01 |
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| 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).