SHANNON M BERUBE (Credential# 690334) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is April 11, 1996. The license expiration date date is April 30, 1997. The license status is INACTIVE.
SHANNON M BERUBE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.004753. The credential type is physical therapist. The effective date is April 11, 1996. The expiration date is April 30, 1997. The business address is 34 Sibley Ave, West Springfield, MA 01089. The current status is inactive.
Licensee Name | SHANNON M BERUBE |
Doing Business As | BREVELERI |
Credential ID | 690334 |
Credential Number | 14.004753 |
Credential Type | Physical Therapist |
Business Address |
34 Sibley Ave West Springfield MA 01089 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1993-08-30 |
Effective Date | 1996-04-11 |
Expiration Date | 1997-04-30 |
Refresh Date | 2009-07-08 |
Street Address | 34 SIBLEY AVE |
City | WEST SPRINGFIELD |
State | MA |
Zip Code | 01089 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Darlene A Kurman | 158 Edgewood Rd, W Springfield, MA 01089 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Jessica Marquez | 758 Westfield St, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
Jody L Russell | 121 Greenleaf Ave, West Springfield, MA 01089 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Katherine Zemanek | 81 Braintree Road, West Springfield, MA 01089 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
John Calabrese | 64 High Meadow Dr, West Springfield, MA 01089 | Dentist | ~ |
Mary Christine Matias | 24 Appaloosa Lane, West Springfield, MA 01089 | Licensed Practical Nurse | ~ |
Elizabeth A Favreau | 21 Hummingbird Lane, West Springfield, MA 01089 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
James M Hanifan | 90 Bayberry Ln, W Springfield, MA 01089 | Architect | 2020-08-01 ~ 2021-07-31 |
Katie Marie Sniegowski | 22 Garden St, West Springfield, MA 01089 | Registered Nurse - Temporary | 2020-02-05 ~ 2020-06-04 |
Surgi-care Inc | 150 Doty Cir, West Springfield, MA 01089 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 01089 |
City | WEST SPRINGFIELD |
Zip Code | 01089 |
License Type | Physical Therapist |
License Type + County | Physical Therapist + WEST SPRINGFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Randy G Berube | 21 School Street, Limestone, ME 04750 | Physical Therapist | 1996-01-17 ~ 1997-01-31 |
Jeffrey Berube · Berube Construction | 6107 Ridgeline Dr, Mount Airy, MD 21771-7725 | Home Improvement Contractor | 2018-03-16 ~ 2018-11-30 |
Shannon Pimentel | 16 Bay St., Fairhaven, MA 06719 | Physical Therapist | 1999-11-02 ~ 2000-06-30 |
David E Berube · Berube Constr Co | 73 Elmer Ave, Hamden, CT 06514 | Home Improvement Contractor | ~ 1995-07-01 |
Shannon M O'leary | 378 Farmington Ave, New Britain, CT 06053-2357 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
Timothy M Shannon | 219 Clarke Rd, Lebanon, CT 06249 | Physical Therapist | 1999-07-13 ~ 2000-07-31 |
Shannon M Cronin | 849 Whitney Ave Apt 1, Hamden, CT 06517-4001 | Physical Therapist | 2018-02-01 ~ 2019-01-31 |
Andrew C Shannon | 15 Andover Rd, Stamford, CT 06902-4415 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
Shannon Astrologes | 11053 Westoves Dr, Noblesville, IN 46060 | Physical Therapist | 2018-10-29 ~ 2019-10-31 |
Shannon L Morin | 375 Randall Road, Lewiston, ME 04240 | Physical Therapist | 1999-04-05 ~ 2000-03-31 |
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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).