SHANNON L DERBY (Credential# 1658323) is licensed (Professional Counselor) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
SHANNON L DERBY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #46.003793. The credential type is professional counselor. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 188 Canterbury Rd, Plainfield, CT 06374-1558. The current status is active.
| Licensee Name | SHANNON L DERBY |
| Credential ID | 1658323 |
| Credential Number | 46.003793 |
| Credential Type | Professional Counselor |
| Business Address |
188 Canterbury Rd Plainfield CT 06374-1558 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-22 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1426418 | 44.001240 | Licensed Alcohol and Drug Counselor | 2017-05-25 | 2020-06-01 - 2021-05-31 | ACTIVE |
| 769228 | 45.000560 | Certified Alcohol and Drug Counselor | 2007-08-07 | 2016-06-01 - 2017-05-31 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shannon L Derby | 188 Canterbury Road, Plainfield, CT 06374 | Notary Public Appointment | 2017-04-25 ~ 2022-04-30 |
| Street Address | 188 CANTERBURY RD |
| City | PLAINFIELD |
| State | CT |
| Zip Code | 06374-1558 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly A Schroth | 21 Lovers Ln, Plainfield, CT 06374 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Amy E Therrien | 416 Starkweather Road, Plainfield, CT 06374 | Real Estate Salesperson | ~ |
| Janis Mcmaster | 262 Pickett Rd, Plainfield, CT 06374 | Respiratory Care Practitioner | 2020-07-01 ~ 2021-06-30 |
| Todd Lepine | 9 Lori Drive, Plainfield, CT 06374 | Distribution System Operator - Class II | 2020-04-01 ~ 2023-03-31 |
| Claire R Desrosiers | 36 Toper Road, Plainfield, CT 06374 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Bakers Dozen of Plainfield LLC · Bakers Dozen of Plnfld Db | 767 Norwich Rd, Plainfield, CT 06374 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kristen Malbaurn | 144 Plainfield Pike, Plainfield, CT 06374 | Medication Administration Certification | 2018-06-18 ~ 2020-06-17 |
| Subway 56447 | 1-395 Plainfield Service Pza Sb, Plainfield, CT 06374 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Subway 56446 | 1-395 Plainfield Service Plaza N B, Plainfield, CT 06374 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Josephine A Maben | 24 North Street, Plainfield, CT 06374 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06374 | |||
| City | PLAINFIELD |
| Zip Code | 06374 |
| License Type | Professional Counselor |
| License Type + County | Professional Counselor + PLAINFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shannon G Bazelais | 12 Tuttle St Apt 3b, Stamford, CT 06902-4636 | Professional Counselor | 2019-11-01 ~ 2020-10-31 |
| Shannon L Garthwait | 290 Route 87, Columbia, CT 06237-1127 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Shannon M Haluchak | 19 Buttercup Ln, New Hartford, CT 06057-3601 | Professional Counselor | 2020-03-01 ~ 2021-02-28 |
| Amelia D. Shannon | 226 Transit St, Waterbury, CT 06704 | Professional Counselor | 2020-05-01 ~ 2021-04-30 |
| Shannon I Marone | 1 Abbott Rd # 8, Ellington, CT 06029-3863 | Professional Counselor | 2019-12-01 ~ 2020-11-30 |
| Shannon E Queiroga | 272 West Ave, Milford, CT 06461-3010 | Professional Counselor | 2019-08-01 ~ 2020-07-31 |
| Shannon M Mulz | 225 Summer St, Bristol, CT 06010-5016 | Professional Counselor | 2019-11-01 ~ 2020-10-31 |
| Shannon B Smith | 60 Tunxis Ave, Bloomfield, CT 06002-2006 | Professional Counselor | 2019-08-01 ~ 2020-07-31 |
| Shannon R Hintz · Harkness | P.o. Box 200, Middle Haddam, CT 06456 | Professional Counselor | ~ |
| Shannon Shepard | 157 Beach Road, Wolcott, CT 06716 | Professional Counselor | 2020-06-01 ~ 2021-05-31 |
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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).