SHANNON MICHEL (Credential# 2044131) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
SHANNON MICHEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065487-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 750 E Adams St, Syracuse, NY 13210-2306. The current status is active.
| Licensee Name | SHANNON MICHEL |
| Credential ID | 2044131 |
| Credential Number | 1.065487-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
750 E Adams St Syracuse NY 13210-2306 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-07-01 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-12 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1635003 | CSP.0070350 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-07-02 | 2019-07-02 - 2021-02-28 | ACTIVE |
| 1634899 | 1.063824 | Physician/Surgeon | 2019-07-02 | 2019-07-02 - 2020-06-30 | ACTIVE |
| Street Address | 750 E ADAMS ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-2306 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy Friedman Md | 750 E Adams St, Syracuse, NY 13210-2342 | Controlled Substance Registration for Practitioner | 2009-04-24 ~ 2011-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca Marie Ohara | 19 Nursery Ln, Syracuse, NY 13210 | Professional Counselor | ~ |
| Steven Brian Gilman | 750 East Adams Street, Syracuse, NY 13210 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Mykolaj Ondrej Suchy | 335 Buckinghame Ave, Syracuse, NY 13210 | Emergency Medical Technician | ~ |
| Paul J Brennan | 4243 Wolf Hollow Rd, Syracuse, NY 13210 | Professional Engineer | 1990-02-23 ~ 1991-01-31 |
| Laubach Literacy International | 1320 Jamesville Ave, Pob 131, Syracuse, NY 13210 | Public Charity | 2005-10-01 ~ 2006-10-31 |
| Debra D Cage | 113 Penta Dr, Syracuse, NY 13210 | Licensed Practical Nurse | 2008-11-24 ~ 2009-11-30 |
| William M Walton | 605 Cumberland Ave, Syracuse, NY 13210 | Architect | ~ |
| Amelie M Regner | 281 Harriette Ave., Syracuse, NY 13210 | Physical Therapist Assistant | 2008-03-13 ~ 2009-04-30 |
| Beatrice Singleton | 118 Dell St, Syracuse, NY 13210 | Hairdresser/cosmetician | 1995-07-27 ~ 1996-07-31 |
| Darlene H Haskins | 107 Avondale Place, Syracuse, NY 13210 | Licensed Practical Nurse | 2005-12-23 ~ 2007-02-28 |
| Find all Licenses in zip 13210 | |||
| City | SYRACUSE |
| Zip Code | 13210 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + SYRACUSE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jean-michel Oquet | 1208 W69th Terrace, Kansas City, MO 64113 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Shannon Eileen Kay | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Shannon Kathleen O'connor | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Shannon Shiel | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2014-07-01 ~ 2018-06-30 |
| Michel, Robert G, Prof · Uconn Lab of Robert Michel | 55 North Eagleville Rd Dept of Chem, Storrs, CT 06269-3060 | Controlled Substance Laboratory | 2007-05-25 ~ 2008-01-31 |
| Michel-schlumberger Partners Lp · Michel-schlumberger Fine Wine Estate | 4155 Wine Creek Road, Healdsburg, CA 95448 | Out of State Shipper Liquor | 2008-09-23 ~ 2009-09-22 |
| Jason Douglas Michel · Michel Construction | Po Box 171, Uncasville, CT 06382-0171 | Home Improvement Contractor | 2014-12-16 ~ 2015-11-30 |
| Stephen H Michel · Joseph G Michel & Sons | 165 Union Ave, West Haven, CT 06516 | Heating, Piping & Cooling Unlimited Contractor | 2019-09-01 ~ 2020-08-31 |
| Richard B Shannon · Shannon Insulation | 250 Old Colchester Rd, Salem, CT 06420 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
| Michel O De Maeseneer | Molenstraat 132, Dilbeek, BE 1700 | Physician/surgeon | 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).