GREGORY M SHAHUM (Credential# 776277) is licensed (Occupational Therapist) with Connecticut Department of Consumer Protection. The license effective date is June 23, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
GREGORY M SHAHUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.003443. The credential type is occupational therapist. The effective date is June 23, 2020. The expiration date is July 31, 2021. The business address is 56 Valley Rd, Stamford, CT 06902-2812. The current status is active.
| Licensee Name | GREGORY M SHAHUM |
| Credential ID | 776277 |
| Credential Number | 48.003443 |
| Credential Type | Occupational Therapist |
| Business Address |
56 Valley Rd Stamford CT 06902-2812 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-05-28 |
| Effective Date | 2020-06-23 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 968418 | 36.001929 | Nursing Home Administrator | 2011-10-20 | 2018-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 56 VALLEY RD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-2812 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Shahum | 56 Valley Rd, Stamford, CT 06902-2812 | Controlled Substance Registration for Practitioner | 2019-08-05 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | Occupational Therapist |
| License Type + County | Occupational Therapist + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gregory P Sposato | 34 Alice St., Norwich, CT 06360 | Occupational Therapist | 2001-05-29 ~ 2003-07-31 |
| Gregory W Kaelin | 7 Willow Ct, Cromwell, CT 06416-1737 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Gregory D Wright | 66 East St, Morris, CT 06763-1803 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Wendy Levine | 119 Gregory Blvd., Norwalk, CT 06855 | Occupational Therapist | 2007-06-12 ~ 2009-07-31 |
| Gregory T Chase | 49 Northwood Cir, Hollis Center, ME 04042-3425 | Occupational Therapist | 2014-01-27 ~ 2015-07-31 |
| Gregory A Wills | 4131 Fox Trace East, Boynton Beach, FL 33436 | Occupational Therapist | ~ 1999-07-31 |
| Jennifer L Gregory | 589 Orange Center Rd, Orange, CT 06477-2913 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Andrea Shahum | 56 Valley Rd, Stamford, CT 06902-2812 | Controlled Substance Registration for Practitioner | 2019-08-05 ~ 2021-02-28 |
| Gary G Gregory · G Gregory Inc C/r | 465 Country Club Rd, Avon, CT 06001 | Home Improvement Contractor | 1995-10-03 ~ 1996-11-30 |
| G Gregory Inc | 465 Country Club Rd, Avon, CT 06001 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
Please comment or provide details below to improve the information on GREGORY M SHAHUM.
| 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).