SHANNON S MARDIN (Credential# 1299578) is licensed (Respiratory Care Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
SHANNON S MARDIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #26.003171. The credential type is respiratory care practitioner. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 29 Ledgewood Dr, Brookfield, CT 06804-3420. The current status is active.
| Licensee Name | SHANNON S MARDIN |
| Credential ID | 1299578 |
| Credential Number | 26.003171 |
| Credential Type | Respiratory Care Practitioner |
| Business Address |
29 Ledgewood Dr Brookfield CT 06804-3420 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-07-22 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-04-01 |
| Street Address | 29 LEDGEWOOD DR |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804-3420 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carly Anne Mardin | 29 Ledgewood Dr, Brookfield, CT 06804-3420 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vicente M Diesta | 31 Ledgewood Dr, Brookfield, CT 06804-3420 | Registered Nurse | 2020-06-18 ~ 2021-04-30 |
| Susan K Farrell | 35 Ledgewood Dr, Brookfield, CT 06804-3420 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Andree Simmoane Dagohoy Diesta | 31 Ledgewood Dr, Brookfield, CT 06804-3420 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Anthony C Olivier | 27 Ledgewood Dr, Brookfield, CT 06804-3420 | Emergency Medical Technician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juan Liang | 6 Tara Dr, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Lenore A Fox · Castellano | 16 Johns Rd, Brookfield, CT 06804 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Xuefang Chen | 13 Hillside Court, Brookfield, CT 06804 | Real Estate Salesperson | ~ |
| J Scott Williams | 30 Obtuse Road South, Brookfield, CT 06804 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Liudmila Yakauleva | 317 Federal Road Suite C, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Brandi L Hennessey | 24 Riverview Court, Brookfield, CT 06804 | Real Estate Salesperson | ~ |
| Medical Warehouse Inc | 72 Grays Bridge Rd, Brookfield, CT 06804 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Heather Lynn Edelmann | 87 Heatherwood Drive, Brookfield, CT 06804 | Notary Public Appointment | 2020-06-25 ~ 2025-06-30 |
| Xiaoming Zheng | 540 Federal Rd, Brookfield, Connecticut 06804, Brookfield, CT 06804 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Shop Rite | Federal Rd, Brookfield, CT 06804 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06804 | |||
| City | BROOKFIELD |
| Zip Code | 06804 |
| License Type | Respiratory Care Practitioner |
| License Type + County | Respiratory Care Practitioner + BROOKFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shannon Peters | 312 Gendron Rd, Plainfield, CT 06374 | Respiratory Care Practitioner | 2020-07-01 ~ 2021-06-30 |
| Shannon M Neugebauer | 78 Hard Hill Rd, Woodbury, CT 06798-2213 | Respiratory Care Practitioner | ~ |
| Shannon M Angiollo | 32 Farm View Dr, Madison, CT 06443-3154 | Respiratory Care Practitioner | 2019-12-01 ~ 2020-11-30 |
| Shannon L Baker | 2723 Lakeside Way, Newnan, GA 30265 | Respiratory Care Practitioner | 2000-11-27 ~ 2001-04-30 |
| Gregory Fabian Stewart | 69 Shannon Rd, East Hartford, CT 06118-1744 | Respiratory Care Practitioner | 2020-02-01 ~ 2021-01-31 |
| Daniel Mann | Hospital for Special Care, New Britain, CT 06053 | Respiratory Care Practitioner | 2002-05-16 ~ 2003-01-31 |
| Jennifer A Hanson | Respiratory Care Practitioner | ~ | |
| Julie A Seifert | CT | Respiratory Care Practitioner | ~ |
| Jay A Kaufman | P.o. Box 367, Silt, CO 81652 | Respiratory Care Practitioner | 2011-11-01 ~ 2012-10-31 |
| Ana P Cabral | 12 May St, Naugatuck, CT 06770-4223 | Respiratory Care Practitioner | 2019-09-01 ~ 2020-08-31 |
Please comment or provide details below to improve the information on SHANNON S MARDIN.
| 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).