SHANNA M GANNON (Credential# 894312) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
SHANNA M GANNON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002318. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 8 Bedford Ave, Hamden, CT 06517-1304. The current status is active.
| Licensee Name | SHANNA M GANNON |
| Credential ID | 894312 |
| Credential Number | 23.002318 |
| Credential Type | Physician Assistant |
| Business Address |
8 Bedford Ave Hamden CT 06517-1304 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-09-14 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 897544 | CSP.0046782 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-10-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 8 BEDFORD AVE |
| City | HAMDEN |
| State | CT |
| Zip Code | 06517-1304 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly Elizabeth Shoemaker | 18 Bedford Ave, Hamden, CT 06517-1304 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy J Freer | 33 Norris Street, Hamden, CT 06517 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Juan Ignacio Zurita-castilla | 43 Merritt St, Hamden, CT 06517 | Master's Level Social Worker - Temporary Permit | 2020-06-25 ~ 2020-09-13 |
| Elizabeth Alberico | 58 Hesse Road, Hamden, CT 06517 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Stephen M Grossman | 17 Greenway St, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| James E Laposta Jr | 66 Laurel Road, Hamden, CT 06517 | Architect | 2020-08-01 ~ 2021-07-31 |
| Judith M Rothstein | 11 Dadio Road, Hamden, CT 06517 | Licensed Alcohol and Drug Counselor | 2020-04-01 ~ 2021-03-31 |
| Keleann T Tamaki | 165 Ridge Road, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Robin L Esposito | 191 Thornton St, Hamden, CT 06517 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele R Abrams | 114 Wakefield St, Hamden, CT 06517 | Audiologist | 2020-09-01 ~ 2021-08-31 |
| Catherine E Tesluk | 215 Hartford Tpke, Hamden, CT 06517 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06517 | |||
| City | HAMDEN |
| Zip Code | 06517 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + HAMDEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alyson King Gannon | 272 Nortontown Rd, Guilford, CT 06437 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Shanna E Zellmann | Psc 817, Fpo Ae, 09622 0016 | Occupational Therapist Assistant | 2005-07-29 ~ 2007-07-31 |
| Thomas K Gannon · Gannon Rustic Fence Co | 34 Cross St, New Canaan, CT 06840 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Ireland Gannon Associates Inc | 6050 Northern Blvd, East Norwich, NY 11732 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
| Dennis P Gannon · Dennis Patrick Gannon | 3265 Third St, Oceanside, NY 11572 | Home Improvement Contractor | ~ 1995-09-01 |
| Michael Gannon · Gannon Development | 90 Cambridge St, Stratford, CT 06614-4711 | Home Improvement Contractor | 2012-09-21 ~ 2013-11-30 |
| Donna A Gannon · Michael R Gannon | 148 Imperial Avenue, Westport, CT 06880 | Real Estate Salesperson | 1998-07-16 ~ 1999-05-31 |
| Harold Gannon · Gannon&sons Home Imprv | 79 Lake Garda Dr, Unionville, CT 06085 | Home Improvement Contractor | ~ 1995-09-01 |
| Harold E. Gannon, Jr. | 737a Quinnipiac Lane, Stratford, CT 06497 | Certified Public Accountant Firm Permit | 2005-01-01 ~ 2005-12-31 |
| Barron Gannon & Co. PC | 1275 Post Road, Fairfield, CT 06824 | Certified Public Accountant Firm Permit | 2007-01-01 ~ 2007-12-31 |
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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).