SHANNON K FITZPATRICK (Credential# 1233576) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
SHANNON K FITZPATRICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0057961. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 140 Mill St Apt 15104, East Haven, CT 06512-1083. The current status is inactive.
| Licensee Name | SHANNON K FITZPATRICK |
| Credential ID | 1233576 |
| Credential Number | CSP.0057961 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
140 Mill St Apt 15104 East Haven CT 06512-1083 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
| Issue Date | 2014-07-11 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1491667 | 1.059402-RES | Resident Physician | 2017-07-01 | 2018-07-01 - 2019-06-30 | INACTIVE |
| Street Address | 140 MILL ST APT 15104 |
| City | EAST HAVEN |
| State | CT |
| Zip Code | 06512-1083 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samantha E Chmura | 140 Mill St Apt 15109, East Haven, CT 06512-1083 | Occupational Therapist | 2017-08-01 ~ 2019-07-31 |
| Paige Mccabe | 140 Mill St Apt 15107, East Haven, CT 06512-1083 | Hairdresser/cosmetician | 2018-08-06 ~ 2020-08-31 |
| Tiffany V Parillo | 140 Mill St Apt 15108, East Haven, CT 06512-1083 | Pharmacy Technician | 2013-11-14 ~ 2014-03-31 |
| James Feliciano | 140 Mill St Apt 15107, East Haven, CT 06512-1083 | Emergency Medical Responder | 2015-07-08 ~ 2018-04-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| East Haven Police Union Local #1662 | Po Box 120033, East Haven, CT 06512 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Danielle M Verderame | 66 Maple Street, East Haven, CT 06512 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Judith M Lyon · Sousa | 440 Townsend Ave, New Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Toni Louise Montuori | 44 Francis St, East Haven, CT 06512 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marcos E Zambrano | 17 Morse Place, New Haven, CT 06512 | Real Estate Salesperson | ~ |
| Nha H Lam | 274 Chidsey Ave, East Haven, CT 06512 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Niraliben N Patel | 44 Columbus Ave, East Haven, CT 06512 | Esthetician | ~ |
| Alyssa C Zordan | 65 Francis Street, East Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Gomes Cleaning & Painting LLC | 296 Burr St, New Haven, CT 06512 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Keith Bouve · Residential Restorations | 99 Prospect Rd, East Haven, CT 06512 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Find all Licenses in zip 06512 | |||
| City | EAST HAVEN |
| Zip Code | 06512 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + EAST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sally Austin-fitzpatrick Od | Po Box 361, New Hartford, CT 06057-0361 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joseph D Fitzpatrick Do | 22 N Washington Ave, Niantic, CT 06357-3212 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Aine O Fitzpatrick | 8 Laurel Hill Rd S, Sherman, CT 06784-2721 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Edward Fitzpatrick Md | Starling Physicians Eye Center, New Britain, CT 06052 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Darren P Fitzpatrick | House Staff Office M136, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Shannon S Maher | 16 Cat Rock Rd, Cos Cob, CT 06807-1704 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Daniel T Fitzpatrick Od | 40 Avon Meadow Lane, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shannon R Packer | 68 Chatham Dr, Manchester, CT 06042-8521 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Shannon L Oteri | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Shannon P Marsh | 114 Woodland St, Hartford, CT 06105-1208 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).