AMANDA A SHACKELL (Credential# 680798) is licensed (Advanced Practice Registered Nurse) 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.
AMANDA A SHACKELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.002620. The credential type is advanced practice registered nurse. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 4 Woodfield Rd, Woodbridge, CT 06525-2626. The current status is active.
| Licensee Name | AMANDA A SHACKELL |
| Credential ID | 680798 |
| Credential Number | 12.002620 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
4 Woodfield Rd Woodbridge CT 06525-2626 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-11-29 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 619465 | 10.E50268 | Registered Nurse | 1987-09-14 | 2020-06-01 - 2021-05-31 | ACTIVE |
| 473538 | CSP.0041606 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-06-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 768088 | 44.000292 | Licensed Alcohol and Drug Counselor | 1998-10-02 | 2019-06-01 - 2020-05-31 | ACTIVE IN RENEWAL |
| Street Address | 4 WOODFIELD RD |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525-2626 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelle L Cubanski | 84 Woodfield Rd, Woodbridge, CT 06525-2626 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Steven Francis Lamdi · Country Club of Woodbridge | 50 Woodfield Rd, Woodbridge, CT 06525-2626 | Cafe Liquor | 2016-06-01 ~ 2017-05-31 |
| Pasquale Aquaro · Giada's At The Country Club of Woodbridge | 50 Woodfield Rd, Woodbridge, CT 06525-2626 | Restaurant Liquor | 2010-11-25 ~ 2011-11-24 |
| Grass Roots Landscaping | 84 Woodfield Rd, Woodbridge, CT 06525-2626 | Home Improvement Contractor | 2009-12-01 ~ 2010-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hyue Kyung Choi | 11 Rock Hill Road, Woodbridge, CT 06525 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jewish Cemetery Association of Greater New Haven | 360 Amity Road, Woodbridge, CT 06525 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Nancy Bradstreet | 146 Northrop Rd., Woodbridge, CT 06525 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Robert I Tucker | 15 Research Drive, Woodbridge, CT 06525 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amity Brick Oven Pizza Inc · Joseph R Sarno | 142 Amity Rd, New Haven, CT 06525 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Linda A Starace-colabella | 895 Baldwin Rd, Woodbridge, CT 06525 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Patricia A Kenyon · Leskow | 8 Maple Terrace, Woodbridge, CT 06525 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Marianne L Dexter | 37 Acorn Hill Rd, Woodbridge, CT 06525 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Debra G Wayne | 94 Maple Vale Drive, Woodbridge, CT 06525 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Timothy Michael Carney | 1119 Racebrook Road, Woodbridge, CT 06525 | Emergency Medical Technician | 2016-08-19 ~ 2020-03-31 |
| Find all Licenses in zip 06525 | |||
| City | WOODBRIDGE |
| Zip Code | 06525 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + WOODBRIDGE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda R Mattei | 847 Durham Rd, Wallingford, CT 06492-2524 | Advanced Practice Registered Nurse | 2020-06-20 ~ 2021-05-31 |
| Amanda T Serra | 10 Meadow Ln, Brewster, NY 10509-1511 | Advanced Practice Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Amanda E Costella | 218 Ichabod Rd, Southbury, CT 06488-2193 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Amanda F Zygmant | 327 Riverside Ave, Westport, CT 06880-4810 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Amanda Z. Silverman | 121 Grandview Dr, Glastonbury, CT 06033-3937 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Amanda M Watson | 224 Crown St, Bristol, CT 06010 | Advanced Practice Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Amanda S Grasso | 43 Summersweet Dr, Glastonbury, CT 06033-5203 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Amanda Lee | 1086 Johnson Road, Woodbridge, CT 06525 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Amanda Kathryn Sanderson | 3 Liams Ln, Methuen, MA 01844-4257 | Advanced Practice Registered Nurse | 2019-10-30 ~ 2020-10-31 |
| Amanda Rachel Weinberger | 212 Regis Drive, Meriden, CT 06450 | Advanced Practice Registered Nurse | ~ |
Please comment or provide details below to improve the information on AMANDA A SHACKELL.
| 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).