GEOFFREY K SHUPP (Credential# 1426685) is licensed (Physical Therapist Assistant) 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.
GEOFFREY K SHUPP is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001846. The credential type is physical therapist assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 2 Red Coat Ln, Redding, CT 06896-1623. The current status is active.
| Licensee Name | GEOFFREY K SHUPP |
| Credential ID | 1426685 |
| Credential Number | 63.001846 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
2 Red Coat Ln Redding CT 06896-1623 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-08-01 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1427279 | 63.001815-TEMP | PTA Temporary Permit | 2017-05-26 | 2017-05-26 - 2017-09-22 | INACTIVE |
| 846333 | 70.006600 | Emergency Medical Technician | 2005-10-25 | 2007-01-24 - 2009-03-31 | INACTIVE |
| 1427276 | 63-TEMP | PTA Temporary Permit | - | INACTIVE |
| Street Address | 2 RED COAT LN |
| City | REDDING |
| State | CT |
| Zip Code | 06896-1623 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alison Diskin | 55 Black Rock Turnpike, Redding, CT 06896 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Regina O'brien | 17 Stepney Rd, Redding, CT 06896 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Lisa Curman Dds | 30 Faview Farm Rd, Redding, CT 06896 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Phyllis Yanney | 47 High Ridge Rd, Redding, CT 06896 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Pelzar | 6 Cricklewood Road, Redding, CT 06896 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michele R Grande | 52 Huckleberry Road, Redding, CT 06896 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Mark A Mason | 423 Newtown Turnpike, Redding, CT 06896 | Real Estate Salesperson | ~ |
| Little Meadow Farm | 313 Redding Rd, Redding, CT 06896 | Farm Distillery Liquor | 2020-05-12 ~ 2021-09-11 |
| Leonard W Topping IIi | 94 Mountain Road, Redding, CT 06896 | Real Estate Salesperson | 2020-03-03 ~ 2021-05-31 |
| Robert P Parisot | 109 Mountain Road, West Redding, CT 06896 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06896 | |||
| City | REDDING |
| Zip Code | 06896 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + REDDING |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sandra Shupp | 66 Cedar St., Newington, CT 06111 | Physical Therapist Assistant | 2001-02-20 ~ 2006-11-01 |
| Eric J O'brien | 5 Geoffrey Road, East Haddam, CT 06423 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| Geoffrey D Foat | 68 Northwood Rd, Madison, CT 06443-1658 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Geoffrey J Fabry | 12 Briarwood Drive, Colchester, CT 06415 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Geoffrey P Stent | 8 Colonial St, West Hartford, CT 06110 | Physical Therapist | 1993-03-24 ~ 1994-04-30 |
| Kathryn Rymsza | 160 Geoffrey Road East, Colchester, CT 06415 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| One A Any | 123, Avon, CT 06001 | Physical Therapist Assistant | 2001-01-31 ~ 2002-01-01 |
| Dollyann Echevarria | Carolina, PR 00983 | Physical Therapist Assistant | ~ |
| Antony Pinto | Bronx, NY 10461 | Physical Therapist Assistant | ~ |
| Leonard B Flanigan | P.o. Box 354, Dayville, CT 06241-0354 | Physical Therapist Assistant | ~ 2006-11-01 |
Please comment or provide details below to improve the information on GEOFFREY K SHUPP.
| 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).