SHIRLEY DESORMES (Credential# 1048128) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2017. The license expiration date date is November 30, 2018. The license status is INACTIVE.
SHIRLEY DESORMES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002724. The credential type is physician assistant. The effective date is December 1, 2017. The expiration date is November 30, 2018. The business address is 7207 Avalon Dr, Shelton, CT 06484-7618. The current status is inactive.
| Licensee Name | SHIRLEY DESORMES |
| Credential ID | 1048128 |
| Credential Number | 23.002724 |
| Credential Type | Physician Assistant |
| Business Address |
7207 Avalon Dr Shelton CT 06484-7618 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-02-16 |
| Effective Date | 2017-12-01 |
| Expiration Date | 2018-11-30 |
| Refresh Date | 2019-03-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1070942 | CSP.0052409 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-05-18 | 2013-03-01 - 2015-02-28 | INACTIVE |
| Street Address | 7207 AVALON DR |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-7618 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ryan K Disibio | 7202 Avalon Dr, Shelton, CT 06484-7618 | Pharmacy Technician | 2020-04-02 ~ 2021-03-31 |
| Joseph E Humphries | 7212 Avalon Dr, Shelton, CT 06484-7618 | Emergency Medical Technician | 2018-03-20 ~ 2021-04-01 |
| Mohsen K Mulla | 7211 Avalon Dr, Shelton, CT 06484-7618 | Home Improvement Salesperson | 2016-12-23 ~ 2017-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chateau Laronde Desormes | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2001-06-07 ~ 2004-06-06 |
| Chateau Laronde-desormes Bordeaux Superieur | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-06-14 ~ 2022-06-08 |
| Jacquelyn Shirley Budlowski | 38 Shelview Drive, Shelton, CT 06484 | Physician Assistant | ~ |
| Shirley J Parzych · Shirley Fisher | 25 Freeman Rd, Charlton, MA 01507 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Christine M Hanley | 27 Leominster Rd # C, Shirley, MA 01464-2006 | Physical Therapist Assistant | 2016-02-01 ~ 2017-01-31 |
| Shirley Adesanya | 199 Yacht St Apt 204, Bridgeport, CT 06605-2774 | Occupational Therapist Assistant | 2015-08-01 ~ 2016-01-07 |
| Shirley D Verner | 69 Lambert Drive, Norwich, CT 06340 | Physical Therapist Assistant | 2020-04-01 ~ 2021-03-31 |
| Shirley A Fontaine · Violette | 441 Milford St, Burlington, CT 06013-2212 | Physical Therapist Assistant | 2019-11-01 ~ 2020-10-31 |
| Shirley M Crane | 5 Berkshire Way, Simsbury, CT 06070 | Family Child Care Assistant | 2001-05-31 ~ 2001-05-31 |
Please comment or provide details below to improve the information on SHIRLEY DESORMES.
| 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).