ELLEN M SHEPPARD (Credential# 1434081) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 10, 2017. The license expiration date date is June 30, 2018. The license status is INACTIVE.
ELLEN M SHEPPARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001826. The credential type is physical therapist assistant. The effective date is July 10, 2017. The expiration date is June 30, 2018. The business address is 1915 Winding Oak Way, Opelika, AL 36804-0576. The current status is inactive.
| Licensee Name | ELLEN M SHEPPARD |
| Credential ID | 1434081 |
| Credential Number | 63.001826 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
1915 Winding Oak Way Opelika AL 36804-0576 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2017-07-10 |
| Effective Date | 2017-07-10 |
| Expiration Date | 2018-06-30 |
| Refresh Date | 2018-10-03 |
| Street Address | 1915 WINDING OAK WAY |
| City | OPELIKA |
| State | AL |
| Zip Code | 36804-0576 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Salvatore R Granata | 146 Lee Road 2012, Opelika, AL 36804 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Dana L Rushing · Searcy, Tankersley | 13326 Alabama Hwy 51, Opelika, AL 36804 | Registered Nurse | 2006-05-11 ~ 2007-05-31 |
| Geneva Jean Thrasher | 5078 Us Highway 80 W, Opelika, AL 36804-1875 | Licensed Practical Nurse - Temporary | 2019-04-23 ~ 2019-08-21 |
| Michelle D Strozier | 58 Lee Road 630, Opelika, AL 36804-7795 | Registered Nurse - Temporary | 2012-08-21 ~ 2012-12-19 |
| Richard Lee Prickett | 241 Lee Road 185, Opelika, AL 36804-8535 | Registered Nurse | 2018-04-01 ~ 2019-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles B Reid | 1910 Waverly Parkway, Opelika, AL 36831 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Gambro Renal Products, Inc. | 1101 Jeter Avenue, Opelika, AL 36801 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2019-02-28 ~ |
| David Coty Strickland | 2707 Bent Tree Ln, Opelika, AL 36801-6274 | Registered Nurse | 2019-03-01 ~ 2020-02-29 |
| Minnie Phillips Caldwell | Po Box 973, Opelika, AL 36803-0973 | Registered Nurse - Temporary | 2018-06-29 ~ 2018-10-26 |
| Cal City Medical Supply Inc | 715 1st Ave, Opelika, AL 36801-4309 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2015-07-01 ~ 2016-06-30 |
| Cal City Medical Supply Inc | 715 First Avenue, Opelika, AL 36801-4969 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2013-07-01 ~ 2014-06-30 |
| Melissa D Bynum-moody | 1407 West St, Opelika, AL 36801-7819 | Licensed Practical Nurse | 2009-12-01 ~ 2010-11-30 |
| Jason H Dorey | P.o. Box 1663, Opelika, AL 36801 | Physician/surgeon | ~ 1997-05-31 |
| Wallace R Wilson | 594 Lee Road 96, Opelika, AL 36801 | Physical Therapist | 2003-09-10 ~ 2004-09-30 |
| Patricia A Lance | 149 Midway Manor, Opelika, AL 36801 | Registered Nurse | 2001-10-30 ~ 2002-10-31 |
| Find all Licenses in OPELIKA | |||
| City | OPELIKA |
| Zip Code | 36804 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + OPELIKA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ellen Margaret Reed | 184 Waldorf St., Springfield, MA 01109 | Physical Therapist Assistant | ~ |
| Ellen Frink | 6 N Cambridge Ct, Fishkill, NY 12524-1528 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
| Ellen Tarasevich | 3100 West End Ave., Nashville, TN 37203 | Physical Therapist Assistant | 2001-02-20 ~ 2006-11-01 |
| Mary Ellen Cardona | 111 Beach Rd., Fairfield, CT 06430 | Physical Therapist Assistant | ~ 2006-11-01 |
| Ellen M Matuza | 65 Kane St., West Hartford, CT 06119 | Physical Therapist Assistant | ~ 2006-11-01 |
| Ellen Rebecca Olszewski | 52 Restful Valley Rd # I, Tiverton, RI 02878-2529 | Physical Therapist Assistant | 2016-04-01 ~ 2017-03-31 |
| Sam Sheppard | 11 Cornell Road, Shoreham, NY 11786 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
| Carlos H Vargas | 818 Sheppard Street, Paranaque City, 1709 | Physical Therapist | ~ |
| Adam M Sheppard | 9884 N Canyon Creek Lane, Fresno, CA 93720 | Physical Therapist | 2007-03-01 ~ 2008-04-30 |
| Ellen M Kilbride | 130 Stonefield Dr, Waterbury, CT 06705 | Occupational Therapist Assistant | 1991-06-27 ~ 1993-07-31 |
Please comment or provide details below to improve the information on ELLEN M SHEPPARD.
| 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).