SHANNON MARIE MAHONEY (Credential# 1687842) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is September 6, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
SHANNON MARIE MAHONEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.012442. The credential type is physical therapist. The effective date is September 6, 2019. The expiration date is July 31, 2020. The business address is 92 Stuyvesant Dr, Port Jefferson Station, NY 11776-4225. The current status is active.
| Licensee Name | SHANNON MARIE MAHONEY |
| Credential ID | 1687842 |
| Credential Number | 14.012442 |
| Credential Type | Physical Therapist |
| Business Address |
92 Stuyvesant Dr Port Jefferson Station NY 11776-4225 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-09-06 |
| Effective Date | 2019-09-06 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-09-06 |
| Street Address | 92 STUYVESANT DR |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-4225 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joanne Louise Downing | 7 Cully Street, Port Jefferson Station, NY 11776 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Beth Anne Travis | 307 Woodhull Ave, Port Jefferson Station, NY 11776 | Registered Nurse - Temporary | 2020-04-22 ~ 2020-08-20 |
| Kelly Ann Kosciuk | 5 Hancock Street, Port Jefferson Station, NY 11776 | Registered Nurse | 2020-03-06 ~ 2021-02-28 |
| Praimchand Nardeo | 15a East Grove Street, Port Jefferson Station, NY 11776 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Paul Lappano | 45 Bedford Ave, Port Jefferson Station, NY 11776 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Stewart D Charaton | 3 Exeter Drive, Port Jefferson Station, NY 11776 | Notary Public Appointment | 2005-12-28 ~ 2010-12-31 |
| Jeffrey Lee Vacirca | 1500 Route 112 Building 4, Port Jefferson Station, NY 11776 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Kristen Youngberg | 1 Evelyn Rd, Port Jeff Sta, NY 11776 | Massage Therapist | 2018-09-19 ~ 2020-09-30 |
| Paul Alan Werfel | 36 Sahenandoah Avlvd, Port Jefferson Station, NY 11776 | Emergency Medical Technician | ~ |
| Clark S Homan | 2 Pagnotta Drive, Port Jefferson, NY 11776 | Physician/surgeon | 2007-09-24 ~ 2008-10-31 |
| Find all Licenses in zip 11776 | |||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + PORT JEFFERSON STATION |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia Mahoney | 418 Woodward Ave, New Haven, CT 06512 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Darlene M Mahoney | 6471 Warwick Ave, Naples, FL 34113-8381 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
| Colleen M Mahoney · Mahoney-fairchild | Cota/l 74 Thayer Road, Higganum, CT 06441 | Occupational Therapist Assistant | 2011-08-01 ~ 2013-07-31 |
| Shannon Pimentel | 16 Bay St., Fairhaven, MA 06719 | Physical Therapist | 1999-11-02 ~ 2000-06-30 |
| Timothy M Shannon | 219 Clarke Rd, Lebanon, CT 06249 | Physical Therapist | 1999-07-13 ~ 2000-07-31 |
| 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 |
| Shannon Elyse Winslow | 18 Christina Ct, Clinton, CT 06413-1046 | Physical Therapist | 2018-11-01 ~ 2019-11-30 |
| Shannon Astrologes | 11053 Westoves Dr, Noblesville, IN 46060 | Physical Therapist | 2018-10-29 ~ 2019-10-31 |
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| 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).