KATHLEEN M SHEA
Physician Assistant


Address: 182 Front St., New Haven, CT 06513

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.

Business Overview

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.

Basic Information

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

Office Location

Street Address 182 Front St.
City New Haven
State CT
Zip Code 06513

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City New Haven
Zip Code 06513
License Type Physician Assistant
License Type + County Physician Assistant + New Haven

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Dataset Information

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).

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