MONICA M SHEPPARD
Physician Assistant


Address: 3537 Woodward Ave, Seaford, NY 11783-2448

MONICA M SHEPPARD (Credential# 894016) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 21, 2009. The license expiration date date is February 28, 2010. The license status is INACTIVE.

Business Overview

MONICA M SHEPPARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002322. The credential type is physician assistant. The effective date is September 21, 2009. The expiration date is February 28, 2010. The business address is 3537 Woodward Ave, Seaford, NY 11783-2448. The current status is inactive.

Basic Information

Licensee Name MONICA M SHEPPARD
Credential ID 894016
Credential Number 23.002322
Credential Type Physician Assistant
Business Address 3537 Woodward Ave
Seaford
NY 11783-2448
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-09-21
Effective Date 2009-09-21
Expiration Date 2010-02-28
Refresh Date 2010-06-04

Office Location

Street Address 3537 WOODWARD AVE
City SEAFORD
State NY
Zip Code 11783-2448

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William M Korchak 4038 Arthur Street, Seaford, NY 11783 Real Estate Broker 2020-04-01 ~ 2021-03-31
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Robert A Canestra Jr 3811 Cordwood Lane, Seaford, NY 11783 Professional Engineer 2020-02-01 ~ 2021-01-31
Carl Vernick 3770 Merrick Rd, Seaford, NY 11783 Professional Engineer 2020-02-01 ~ 2021-01-31
Lori Loscalzo 659 Dianne St, Seaford, NY 11783 Pharmacist 2020-02-01 ~ 2022-01-31
Vicente Romero 3975 Daleview Avenue, Seaford, NY 11783 Home Improvement Salesperson 2019-12-01 ~ 2020-11-30
Shawn J Brito 3963 Marlow Court, Seaford, NY 11783 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
James T Cooney 3965 Sunset Avenue, Seaford, NY 11783 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Nicole Block 3965 Darby Lane, Seaford, NY 11783 Veterinarian 2019-02-01 ~ 2020-01-31
Precision Explosives, Inc. 2192 Seamans Neck Rd., Seaford, NY 11783 Demolition Contractor 2002-10-01 ~ 2003-09-30
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City SEAFORD
Zip Code 11783
License Type Physician Assistant
License Type + County Physician Assistant + SEAFORD

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Jeffrey J Sheppard · Sheppard Tavern & Restaurant 556 Boston Post Road, Guilford, CT 06437 Restaurant Liquor 2000-01-31 ~ 2001-01-30
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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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