KRISTEN MARIE SHAW (Credential# 1670059) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is June 16, 2020. The license expiration date date is October 31, 2020. The license status is ACTIVE.
KRISTEN MARIE SHAW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.012693. The credential type is physical therapist. The effective date is June 16, 2020. The expiration date is October 31, 2020. The business address is 172 Hawthorne St, Manchester, CT 06042-3023. The current status is active.
Licensee Name | KRISTEN MARIE SHAW |
Credential ID | 1670059 |
Credential Number | 14.012693 |
Credential Type | Physical Therapist |
Business Address |
172 Hawthorne St Manchester CT 06042-3023 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-06-16 |
Effective Date | 2020-06-16 |
Expiration Date | 2020-10-31 |
Refresh Date | 2020-06-16 |
Street Address | 172 HAWTHORNE ST |
City | MANCHESTER |
State | CT |
Zip Code | 06042-3023 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael W Bouley | 124 Hawthorne St, Manchester, CT 06042-3023 | Paramedic | 2020-04-01 ~ 2021-03-31 |
Patrick Gleason | 148 Hawthorne St, Manchester, CT 06042-3023 | Emergency Medical Technician | 2020-04-01 ~ 2022-03-31 |
Universal Projects Unlimited LLC | 204 Hawthorne St, Manchester, CT 06042-3023 | Home Improvement Contractor | 2016-02-18 ~ 2016-11-30 |
Jason J Cooney | 182 Hawthorne St, Manchester, CT 06042-3023 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
Samantha L Villandry | 106 Hawthorne St, Manchester, CT 06042-3023 | Hairdresser/cosmetician | 2019-09-01 ~ 2021-08-31 |
Christopher Hansen | 114 Hawthorne St, Manchester, CT 06042-3023 | Home Improvement Salesperson | 2012-03-15 ~ 2012-11-30 |
Penny Allison Gleason · Parent | 148 Hawthorne St, Manchester, CT 06042-3023 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Chelsea E Salafia | 106 Hawthorne St, Manchester, CT 06042-3023 | Registered Nurse | 2014-08-01 ~ 2015-07-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Find all Licenses in zip 06042 |
City | MANCHESTER |
Zip Code | 06042 |
License Type | Physical Therapist |
License Type + County | Physical Therapist + MANCHESTER |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Scott M Shaw | P.o. Box 29, Norfolk, CT 06058 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
Joyce A Shaw | 26 Bear Paw Rd, Trumbull, CT 06611 | Physical Therapist | 1993-05-25 ~ 1994-06-30 |
Raymond A Shaw | 17 Ridge Rd, Cromwell, CT 06416-1516 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
Candice V Shaw | 152 Washington St, Bristol, CT 06010-6722 | Physical Therapist | 2011-05-01 ~ 2013-04-30 |
Jessica B Shaw | 202 Kings Hwy, Fairfield, CT 06825 | Physical Therapist | 2018-04-01 ~ 2019-03-31 |
Robert J Roller Jr | 3148 Shaw St, Dupont, WA 98327-8763 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
William K Osgood II | 29 Shaw Park Ave, Chicopee, MA 01013 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
Jeffrey M Kinsella-shaw | P.o. Box 556, Mansfield Center, CT 06250 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
Kristen M Karnish | 110-3b, Stamford, CT 06905 | Physical Therapist | 1992-12-22 ~ 1993-12-31 |
Kristen Marie Rohrbach | 133 Ellington St, Longmeadow, MA 01106-1431 | Marital and Family Therapist | 2019-09-01 ~ 2020-08-31 |
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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).