This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shannon C Blake Pa | 1217 Tidalwalk Dr, Wilmington, NC 28409 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |