SHANNON M HOGAN DO (Credential# 563326) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
SHANNON M HOGAN DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045744-DO. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 185 Rye Cir, South Burlington, VT 05403-7648. The current status is active.
| Licensee Name | SHANNON M HOGAN DO |
| Credential ID | 563326 |
| Credential Number | 1.045744-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
185 Rye Cir South Burlington VT 05403-7648 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-08-07 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1612111 | CSP.0069805 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-11-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 446783 | CSP.0040168 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-09-20 | 2009-03-01 - 2011-02-28 | INACTIVE |
| Street Address | 185 RYE CIR |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403-7648 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cyrus N Thomas-walker | 144 South Jefferson Road, South Burlington, VT 05403 | Paramedic | 2020-07-01 ~ 2021-06-30 |
| Benchmark Space Systems, Inc. | 2 Gregory Drive, South Burlington, VT 05403 | Securities - Exemptions | 2020-05-29 ~ |
| Beta Technologies, Inc. | 1150 Airport Drive, South Burlington, VT 05403 | Securities - Exemptions | 2020-05-27 ~ |
| Glenda J Bowen | 638 Hinesburg Rd. Apt. 1, South Burlington, VT 05403 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Aubrey D Barry | 144 S Jefferson Rd. Apt 108, South Burlington, VT 05403 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Anil K Vinjamuri | 152 Allen Road, South Burlington, VT 05403 | Pharmacist | 2020-02-12 ~ 2022-01-31 |
| Chad E Phillips | E3 Stonehedge Drive, S Burlington, VT 05403 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Mcsoley Mccoy & Company | 118 Tilley Drive, South Burlington, VT 05403 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Jason B. Hamilton | Gallagher, Flynn & Co., LLP, South Burlington, VT 05403 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Gallagher Flynn & Co LLP | 55 Community Drive Suite 401, South Burlington, VT 05403 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 05403 | |||
| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SOUTH BURLINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert B Poundstone | 7 Hogan Trail, Westport, CT 06880 | Physician/surgeon | 1994-06-28 ~ 1995-01-17 |
| Robert J Hogan Md | 245 Tompkins Road, Montgomer, NY 12549 | Physician/surgeon | 1999-06-22 ~ 2000-05-31 |
| Gilbert F Hogan | 188 Newton Road, Woodbridge, CT 06525 | Physician/surgeon | 2015-09-01 ~ 2016-08-31 |
| Alexander Hannafey Hogan | 65 Daventry Hill Rd., Avon, CT 06001 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Marc L Drapeau | 4055 Hogan Drive, Tyler, TX 75709 | Physician/surgeon | 2008-08-28 ~ 2009-08-31 |
| Jason M Hogan | 3513 Brighton Blvd, Denver, CO 80216 | Physician/surgeon | 2020-02-06 ~ 2020-09-30 |
| Emily Kathleen Hogan Miller | 365 Montauk Ave, New London, CT 06320-4700 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Craig M Shannon | 47 Kingwood Dr, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Shannon Henning | 34 Cliff Road, Merrick, NY 11566 | Physician/surgeon | ~ |
| Shannon Drew Md | 291 Whitney Ave Ste 303, New Haven, CT 06511-3764 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).