SHANNON HICKEY (Credential# 1651016) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
SHANNON HICKEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.012309. The credential type is physical therapist. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 2102 Avalon Dr, Shelton, CT 06484-7606. The current status is active.
| Licensee Name | SHANNON HICKEY |
| Credential ID | 1651016 |
| Credential Number | 14.012309 |
| Credential Type | Physical Therapist |
| Business Address |
2102 Avalon Dr Shelton CT 06484-7606 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-08-01 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2020-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1666772 | 14.012255-TEMP | PT Temporary Permit | 2019-06-06 | 2019-06-06 - 2019-08-05 | INACTIVE |
| Street Address | 2102 AVALON DR |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-7606 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Trevor Joseph Guerrera | 2102 Avalon Dr, Shelton, CT 06484 | Registered Nurse | 2019-06-01 ~ 2020-05-31 |
| Olaseni M Hazzan | 2102 Avalon Dr, Shelton, CT 06484 | Real Estate Broker | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mobolaji F Hazzan | 413 Canoe Brk, Shelton, CT 06484-7606 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristin J Hickey | 380 Hop River Rd, Coventry, CT 06238-3234 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Shannon Pimentel | 16 Bay St., Fairhaven, MA 06719 | Physical Therapist | 1999-11-02 ~ 2000-06-30 |
| Shannon M O'leary | 378 Farmington Ave, New Britain, CT 06053-2357 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Shannon M Cronin | 849 Whitney Ave Apt 1, Hamden, CT 06517-4001 | Physical Therapist | 2018-02-01 ~ 2019-01-31 |
| Andrew C Shannon | 15 Andover Rd, Stamford, CT 06902-4415 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Timothy M Shannon | 219 Clarke Rd, Lebanon, CT 06249 | Physical Therapist | 1999-07-13 ~ 2000-07-31 |
| Shannon G Carroll | 48 Westland Ave, West Hartford, CT 06107-3441 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Michael G Shannon | 1680 Langley Dr, Hagerstown, MD 21740 | Physical Therapist | 1981-01-01 ~ 1994-02-28 |
| Shannon Elyse Winslow | 18 Christina Ct, Clinton, CT 06413-1046 | Physical Therapist | 2018-11-01 ~ 2019-11-30 |
| Jacqueline H Hopkinson | 4 Shannon Dr., Stratham, NH 03885 | Physical Therapist Assistant | ~ 2006-11-01 |
Please comment or provide details below to improve the information on SHANNON HICKEY.
| 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).