THOMAS G SHAFER (Credential# 1299414) is licensed (Registered Nurse - Temporary) with Connecticut Department of Consumer Protection. The license effective date is July 13, 2015. The license expiration date date is November 9, 2015. The license status is INACTIVE.
THOMAS G SHAFER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.127744-TEMP. The credential type is registered nurse - temporary. The effective date is July 13, 2015. The expiration date is November 9, 2015. The business address is 243 Willowbrooke Drive, Brockport, NY 14420. The current status is inactive.
| Licensee Name | THOMAS G SHAFER |
| Credential ID | 1299414 |
| Credential Number | 10.127744-TEMP |
| Credential Type | Registered Nurse - Temporary |
| Credential SubCategory | TEMP |
| Business Address |
243 Willowbrooke Drive Brockport NY 14420 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2015-07-13 |
| Effective Date | 2015-07-13 |
| Expiration Date | 2015-11-09 |
| Refresh Date | 2015-11-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1299280 | 10 | Registered Nurse | - | EXPIRED APPLICATION |
| Street Address | 243 Willowbrooke Drive |
| City | Brockport |
| State | NY |
| Zip Code | 14420 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah Colapietro | 2962 Colby St, Brockport, NY 14420 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Paul V Bissanti | 800 Gilmore Road, Brockport, NY 14420 | Hairdresser/cosmetician | 1997-07-31 ~ 1998-04-30 |
| Bijan K Basak | Lakeside Mem Hosp, Brockport, NY 14420 | Physician/surgeon | 1992-04-24 ~ 1993-03-31 |
| James Manno · Kb Transport Inc | 200 State Street, Brockport, NY 14420 | Transporter Liquor | 2001-01-08 ~ 2002-01-07 |
| Richard J King | 3845 Lake Rd N, Brockport, NY 14420-1419 | Controlled Substance Registration for Practitioner | 2015-02-07 ~ 2017-02-28 |
| Carrie Lynn Kumar | 82 Monroe Ave, Brockport, NY 14420-1823 | Registered Nurse | 2012-12-03 ~ 2013-12-31 |
| Timothy J Russell | 47 Spring St, Brockport, NY 14420-2045 | Tv & Radio Limited Dish Antenna Technician | ~ |
| Lauren R Fery | 19 Old Elm Dr, Brockport, NY 14420-2511 | Physical Therapist | 2013-07-01 ~ 2014-06-30 |
| Caitlin E Myers | 211 Hollybrook Rd, Brockport, NY 14420-2533 | Registered Nurse | 2012-04-01 ~ 2013-03-31 |
| City | Brockport |
| Zip Code | 14420 |
| License Type | Registered Nurse - Temporary |
| License Type + County | Registered Nurse - Temporary + Brockport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James L Shafer | 3122 Indian Lake Dr, Louisville, KY 40241-3429 | Registered Nurse - Temporary | 2012-06-13 ~ 2012-10-11 |
| Shafer Vineyards | 6154 Silverado Trail, Napa, CA 94558 | Out of State Winery | 2020-08-07 ~ 2021-08-06 |
| Thomas S Lis-parker | Po Box 52, South Lee, MA 01260-0052 | Registered Nurse - Temporary | 2011-12-16 ~ 2012-04-14 |
| Michelle N Thomas | 313 Ash Ave, Ft. Knox, KY 40121 | Registered Nurse - Temporary | 2014-11-18 ~ 2015-03-17 |
| Raelene Shafer | P.o.box 411, Groton, CT 06349 | Registered Nurse | 2003-02-06 ~ 2003-10-31 |
| Ashley Tabron | 97 N Thomas Rd, Tallmadge, OH 44278-1701 | Registered Nurse - Temporary | 2019-11-06 ~ 2020-03-05 |
| Patrice-lou M Thomas | 777 Remsen Ave, Brooklyn, NY 11236-1423 | Registered Nurse - Temporary | 2009-08-05 ~ 2009-12-03 |
| Thomas W Murphy | 12 Cove Rd, Hillsdale, NY 12529-5210 | Registered Nurse - Temporary | 2020-05-04 ~ 2020-09-01 |
| Thomas Mariano | 479 Delavan Ave., Newark, NJ 07107 | Registered Nurse - Temporary | 2015-02-27 ~ 2015-06-26 |
| Tanya Lee Thomas | 21 Pridemark Ln, Attleboro, MA 02703-1129 | Registered Nurse - Temporary | 2019-11-07 ~ 2020-03-06 |
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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).