STACY E SHIMP (Credential# 743957) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
STACY E SHIMP is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002208. The credential type is physician assistant. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 1673 Ludwell Drive, Ambler, PA 19002. The current status is active.
Licensee Name | STACY E SHIMP |
Credential ID | 743957 |
Credential Number | 23.002208 |
Credential Type | Physician Assistant |
Business Address |
1673 Ludwell Drive Ambler PA 19002 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2008-11-21 |
Effective Date | 2019-12-01 |
Expiration Date | 2020-11-30 |
Refresh Date | 2019-11-26 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
520783 | CSP.0044911 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2008-12-08 | 2015-03-01 - 2017-02-28 | INACTIVE |
Street Address | 1673 Ludwell Drive |
City | Ambler |
State | PA |
Zip Code | 19002 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ltk Consulting Services Inc | 100 West Butler Ave, Ambler, PA 19002 | Professional Engineering Corporation | 2020-08-16 ~ 2021-08-15 |
Robert J Price | 1228 Joseph Road, Ambler, PA 19002 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Laurie Gaertner | 1218 Joseph Road, Ambler, PA 19002 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Jose Missri Md | 1648 Pembrook Rd., Ambler, PA 19002 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Jeffrey Bourret | 819 Foxfield Rd, Lower Gwynedd, PA 19002 | Pharmacist | 2018-08-27 ~ 2020-01-31 |
Bonnie C Shaddinger | 502 Herold Ct, Maple Glen, PA 19002 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Scott T Kupper | 300 Brookside Ave., Ambler, PA 19002 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Route Dynamics Corp. | 200 Bolton Court, Ambler, PA 19002 | Securities - Exemptions | 2020-01-08 ~ |
Meiqin Xue | 406 East Welsh Road, Ambler, PA 19002 | Massage Therapist | 2019-08-01 ~ 2021-07-31 |
Erin Contracting LLC | 348 Railroad Avenue, Ambler, PA 19002 | Major Contractor | 2017-07-01 ~ 2018-06-30 |
Find all Licenses in zip 19002 |
City | Ambler |
Zip Code | 19002 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + Ambler |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stacy S Adil | 84 Hawthorne Ave, Hamden, CT 06517-1825 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Stacy Fuller Baecker Pa-c | 28 Magnolia Ave, Norwalk, CT 06850-3631 | Physician Assistant | 2010-09-01 ~ 2011-08-31 |
Stacy Anne Henderson Pa | 41 Germantown Rd Ste 101, Danbury, CT 06810-4087 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Stacy Holtz Pa | 245 Jeremy Swamp Road, Southbury, CT 06488 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Stacy Alex Robinson | 8246 Azur Coast Boulevard, Lake Worth, FL 33467 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Stacy L James | 84 Roosevelt Ave. Ext., Preston, CT 06365 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
Stacy J Todisco | 36 Leonard Pl, Trumbull, CT 06611-4330 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
Stacy Marie Rivers | 100 Ben St, Bristol, CT 06010-3228 | Physical Therapist Assistant | 2020-07-01 ~ 2021-06-30 |
Stacy A Borucki | 4 Dover Rd., So. Hadley, MA 01075 | Physical Therapist Assistant | ~ 2006-11-01 |
Linda J Stacy | 257 Bumstead Road, Monson, MA 01057 | Occupational Therapist Assistant | ~ 1995-07-31 |
Please comment or provide details below to improve the information on STACY E SHIMP.
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).