DAVID SHEFVELAND CANNOM (Credential# 1067023) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 29, 1973. The license expiration date date is May 31, 1981. The license status is INACTIVE.
DAVID SHEFVELAND CANNOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016350. The credential type is physician/surgeon. The effective date is October 29, 1973. The expiration date is May 31, 1981. The business address is 1360 W 6th St, San Pedro, CA 90732-3514. The current status is inactive.
| Licensee Name | DAVID SHEFVELAND CANNOM |
| Credential ID | 1067023 |
| Credential Number | 1.016350 |
| Credential Type | Physician/Surgeon |
| Business Address |
1360 W 6th St San Pedro CA 90732-3514 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1973-10-29 |
| Effective Date | 1973-10-29 |
| Expiration Date | 1981-05-31 |
| Refresh Date | 2012-04-20 |
| Street Address | 1360 W 6TH ST |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90732-3514 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peaceful Pea Inc | 1621 W 25th St Ste 142, San Pedro, CA 90732 | Manufacturer of Bedding & Upholstered Furniture | 2006-11-21 ~ 2007-04-30 |
| Alicia K Papale | 2002 Paseo Del Mar, San Pedro, CA 90732 | Hairdresser/cosmetician | 2010-09-01 ~ 2012-08-31 |
| Timothy Lovoy | 1719 Ortega Place, San Pedro, CA 90732 | Certified Public Accountant Certificate | ~ |
| Estelle B Hoch | 2044 Stonewood Ct, San Pedro, CA 90732 | Registered Nurse | 2005-08-25 ~ 2009-08-31 |
| Sr Bernar Janelle | 2100 South Western, San Pedro, CA 90732 | Nursing Home Administrator | 1992-12-22 ~ 1994-02-28 |
| Sharon J Abel-mcmullen | 1755 Vallecito Drive, San Pedro, CA 90732-4245 | Marital and Family Therapist | 2007-04-24 ~ 2008-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sataporn Muang-in | 2436 Oceanview Ter, San Pedro, CA 90731-6398 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Pacific Battleship Center | 250 S Harbor Blvd Beth 87, San Pedro, CA 90731-2830 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Mae Therese Gioffre | 531 N Meyler St, San Pedro, CA 90731-1840 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
| 123 Spirits LLC | 727 W Capitol Dr, San Pedro, CA 90731-1226 | Out of State Shipper Liquor | 2017-06-02 ~ 2018-06-01 |
| Gertrudes Fedalizo | 1048 W 25th St, San Pedro, CA 90731-5202 | Registered Nurse | 2017-11-01 ~ 2018-10-31 |
| Jessalyn Arienza Pineda | Blk8 Lot2 Phase 2 #3024 Fr. Masi St Holiday Homes, San Pedro, PH 4023 | Physical Therapist | ~ |
| Tracy A Kritz | 1146 W 17th St, San Pedro, CA 90731-3834 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
| Fundraising Services Inc | 411 N Harbor Blvd Ste 202, San Pedro, CA 90731-2269 | Solicitation Notice | 2011-09-28 ~ 2012-07-31 |
| Vasilis Papadatos | 358 W 18th St, San Pedro, CA 90731-5404 | Architect | 2011-08-09 ~ 2012-07-31 |
| Joyce E Mcbain | 845 Upland Ave, San Pedro, CA 90731 | Registered Nurse | 1996-03-04 ~ 1997-04-30 |
| Find all Licenses in SAN PEDRO | |||
| City | SAN PEDRO |
| Zip Code | 90732 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SAN PEDRO |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David G. Srour Md | Rockville, MD 20850 | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
| David Chu Md | 358 W Hyerdale Dr, Goshen, CT 06756 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David R Widrow Md | 22 Fifth St, Stamford, CT 06905 | Physician/surgeon | 2002-08-20 ~ 2003-10-31 |
| David L Maxham | Box 517, Woodstock, VT 05091 | Physician/surgeon | 1994-03-07 ~ 1995-02-28 |
| David C Kim | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| David M Heydt | 34 Loft Dr, Martinsville, NJ 08836-2261 | Physician/surgeon | ~ |
| David P Roy | 184 East St, Plainville, CT 06062-2913 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| David M Drvaric | 516 Carew St, Springfield, MA 01104-2330 | Physician/surgeon | ~ |
| David H Barad | 21 E 69th St, New York, NY 10021-4917 | Physician/surgeon | ~ |
| David Kessler | 615 W 131st St, New York, NY 10027 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on DAVID SHEFVELAND CANNOM.
| 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).