KATHLEEN M SHEA (Credential# 743197) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2017. The license expiration date date is September 30, 2018. The license status is INACTIVE.
KATHLEEN M SHEA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001448. The credential type is physician assistant. The effective date is October 1, 2017. The expiration date is September 30, 2018. The business address is 182 Front St., New Haven, CT 06513. The current status is inactive.
Licensee Name | KATHLEEN M SHEA |
Credential ID | 743197 |
Credential Number | 23.001448 |
Credential Type | Physician Assistant |
Business Address |
182 Front St. New Haven CT 06513 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2004-01-29 |
Effective Date | 2017-10-01 |
Expiration Date | 2018-09-30 |
Refresh Date | 2019-01-03 |
Street Address | 182 Front St. |
City | New Haven |
State | CT |
Zip Code | 06513 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Odalys Guartan | 17 Dell Dr, East Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
Marilu E Espinsa | 148 Poplar St, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Javon Christian Woodard | 404 Poplar St, New Haven, CT 06513 | Registered Nurse | ~ |
Norma Congacha | 22 Farren Ave., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-05-31 |
Sonia Sunanita Salazar | 48 Wolcott St 1 L., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Rosa Zuna | 426 Ferry St. 1st Fl, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Veronica Congacha | 28 Farren Ave., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Jessica L Vallejo | 41 Oak Ridge Dr, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
Ami Nosenzo · Nosenzo | 1423 Quinnipiac Ave, New Haven, CT 06513 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
Taquetta Delis Mitchell | 40 Foxon Hill Rd I34, New Haven, CT 06513 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06513 |
City | New Haven |
Zip Code | 06513 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + New Haven |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Shea E Gillan | 3736 Fallon Rd # 111, Dublin, CA 94568-7400 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Shea Muri Kozak | 114 Forest Drive, Wethersfield, CT 06109 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Kathleen K Treanor | 111 Jamestown Dr, Springfield, MA 01108-3145 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Kathleen M Reccord Pa | 9 1/2 Oakland St, Wilbraham, MA 01095 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Kathleen Wilcox | 47 Millard St Fl 2, New Britain, CT 06051-2431 | Physician Assistant | 2020-06-25 ~ 2020-09-30 |
Kevin M Shea · Shea Shea & Mchugh Construction | 32 Washington St, Mystic, CT 06355 | Home Improvement Contractor | 2020-06-10 ~ 2020-11-30 |
Kathleen Hutcheon | 105 Pleasant Ave, White Plains, NY 10605 | Physician Assistant | 1996-08-26 ~ 1997-10-31 |
Kathleen M Orazietti Pa | 717 Long Hill Ave., Shelton, CT 06484 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
Kathleen F Latronica Pa-c | 39 Round Hill Rd, Woodbridge, CT 06525 | Physician Assistant | 2012-07-01 ~ 2013-06-30 |
Kathleen Kelliher Pa | 111 Whiting Lane, West Hartford, CT 06119 | Physician Assistant | 2019-07-01 ~ 2020-06-30 |
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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).