SHANTELLA E THOM (Credential# 1362311) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is August 10, 2016. The license expiration date date is February 28, 2017. The license status is INACTIVE.
SHANTELLA E THOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0063260. The credential type is controlled substance registration for practitioner. The effective date is August 10, 2016. The expiration date is February 28, 2017. The business address is 6361 Day Lilly Ln, Charlotte, NC 28216-8839. The current status is inactive.
| Licensee Name | SHANTELLA E THOM |
| Credential ID | 1362311 |
| Credential Number | CSP.0063260 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
6361 Day Lilly Ln Charlotte NC 28216-8839 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2016-08-10 |
| Effective Date | 2016-08-10 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1358953 | 12.006654 | Advanced Practice Registered Nurse | 2016-08-09 | 2016-08-09 - 2017-01-31 | INACTIVE |
| 1358952 | 10.136163 | Registered Nurse | 2016-08-09 | 2016-08-09 - 2017-01-31 | INACTIVE |
| 1362733 | 10.134445-TEMP | Registered Nurse - Temporary | 2016-06-24 | 2016-06-24 - 2016-10-21 | INACTIVE |
| Street Address | 6361 DAY LILLY LN |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28216-8839 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie M Torres | 2319 Tallet Trace, Charlotte, NC 28216 | Real Estate Salesperson | 2019-03-26 ~ 2020-05-31 |
| Coca-cola Consolidated Inc | 4100 Coca-cola Plaza, Charlotte, NC 28216 | Non-alcoholic Beverage & Water Bottlers | 2020-07-01 ~ 2021-06-30 |
| Cynthia Vincent | 910 Doris Ray Ct, Charlotte, NC 28216 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Deidre Channell Wallace-campbell | 7822 Royce Hall Lane, Charlotte, NC 28216 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Ryanne M Fowlis | 3302 Ringtail Ln, Charlotte, NC 28216 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Bruce E Houser | 4116 Mountain Cove Dr, Charlotte, NC 28216 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Edward Kensah Jr | 6601 North Park Blvd, Charlotte, NC 28216 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Ellenora Renae Melvin | 9739 Northlake Centre Pkwy, Charlotte, NC 28216 | Tax Preparer/facilitator Permit | 2019-12-01 ~ 2021-12-31 |
| Pomeroy Dba Getronics | 13534 Plaza Rd Ext Ste 102, Charlotte, NC 28216 | Dealer of Weighing & Measuring Devices | 2020-01-01 ~ 2020-12-31 |
| Connie Dobie | 5125 June Furr Road, Charlotte, NC 28216 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 28216 | |||
| City | CHARLOTTE |
| Zip Code | 28216 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHARLOTTE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thom Meredith | 55 Thompson St #17c, East Haven, CT 06513 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Tatiana A Thom | 24 Park Place, Hartford, CT 06106 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Thom Mcan #1360 · W Hartford Thom Mcan Inc | Westfarms Mall South Rd, Farmington, CT 06032 | Closing Out Sale | 1996-10-03 ~ 1997-01-01 |
| Thom Mcan #7664 · Danbury Fair Thom Mcan | 7 Backus Ave Suite 373, Danbury, CT 06810 | Closing Out Sale | 1996-10-03 ~ 1997-01-01 |
| Thom Mcan #7731 · Buckland Hills Thom Mcan | Pavillions At Buckland Hills, Manchester, CT 06040 | Closing Out Sale | 1996-10-03 ~ 1997-01-01 |
| Thom Mcan #1890 · Trumbull Park Thom Mcan | Trumbull Shopping Ctr, Trumbull, CT 06612 | Closing Out Sale | 1996-10-03 ~ 1997-01-01 |
| Thom Mcan #1531 · Meriden Thom Mcan Inc | Meriden Sq 470 Lewis Ave, Meriden, CT 06450 | Closing Out Sale | 1996-10-03 ~ 1997-01-01 |
| Thom Mcan #7805 · Trumbull Inc | 5065 Main St, Trumbull, CT 06611 | Closing Out Sale | 1996-10-03 ~ 1997-01-01 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Thom Mcan #1590 · Branhaven Tom Mcan Inc | Branhaven Plaza Route 142, Branford, CT 06405 | Closing Out Sale | 1996-10-03 ~ 1997-01-01 |
Please comment or provide details below to improve the information on SHANTELLA E THOM.
| 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).