SHEA MURI KOZAK (Credential# 1459227) 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 MURI KOZAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004006. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 114 Forest Drive, Wethersfield, CT 06109. The current status is active.
| Licensee Name | SHEA MURI KOZAK |
| Credential ID | 1459227 |
| Credential Number | 23.004006 |
| Credential Type | Physician Assistant |
| Business Address |
114 Forest Drive Wethersfield CT 06109 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-11-20 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-03-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1460919 | CSP.0067087 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-11-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1463238 | 23 | Physician Assistant | - | PENDING |
| Street Address | 114 Forest Drive |
| City | Wethersfield |
| State | CT |
| Zip Code | 06109 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
| Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06109 | |||
| City | Wethersfield |
| Zip Code | 06109 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Wethersfield |
| 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 E Gillan | 3736 Fallon Rd # 111, Dublin, CA 94568-7400 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| William Kozak · Kozak Builders | 1 Sinsabaugh Heights, Shelton, CT 06484 | Home Improvement Contractor | 2004-12-01 ~ 2005-11-30 |
| Vigneti Del Salento I Muri Negromaro Puglia | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2014-06-06 ~ 2017-06-05 |
| Vigneti Del Salento I Muri Primitivo Puglia | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2014-06-06 ~ 2017-06-05 |
| Jaunegg Muri Chardonnay New Vine Direct | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2007-11-16 ~ 2010-11-14 |
| Kevin M Shea · Shea Shea & Mchugh Construction | 32 Washington St, Mystic, CT 06355 | Home Improvement Contractor | 2020-06-10 ~ 2020-11-30 |
| Collazzi Otto Muri Toscana Italy Tuscany | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2014-10-22 ~ 2017-10-21 |
| Reitberger, Pollekoff & Kozak, P.C. | 1950 Old Gallows Road, Suite 4, Vienna, VA 22182 | Certified Public Accountant Firm Permit | 2006-01-01 ~ 2006-12-31 |
| Anthony J Shea · A J Shea Construction Co | 192 Westbrook Rd, Essex, CT 06426-1511 | Home Improvement Contractor | 2000-12-01 ~ 2001-10-06 |
Please comment or provide details below to improve the information on SHEA MURI KOZAK.
| 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).