SYBIL M SHAW
Registered Nurse


Address: 213 N Webster Street, Augusta, MI 49012

SYBIL M SHAW (Credential# 569835) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is December 3, 2001. The license expiration date date is September 30, 2002. The license status is INACTIVE.

Business Overview

SYBIL M SHAW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.065827. The credential type is registered nurse. The effective date is December 3, 2001. The expiration date is September 30, 2002. The business address is 213 N Webster Street, Augusta, MI 49012. The current status is inactive.

Basic Information

Licensee Name SYBIL M SHAW
Credential ID 569835
Credential Number 10.065827
Credential Type Registered Nurse
Business Address 213 N Webster Street
Augusta
MI 49012
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-05-16
Effective Date 2001-12-03
Expiration Date 2002-09-30
Refresh Date 2009-07-08

Office Location

Street Address 213 N Webster Street
City Augusta
State MI
Zip Code 49012

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Rebecca M Davia 8688 E Gull Lake Dr, Augusta, MI 49012-9709 Registered Nurse 2017-02-01 ~ 2018-01-31

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June Yowtak 2095 Willhaven Dr, Augusta, GA 30909 Resident Physician 2017-07-07 ~ 2021-06-30
Amd Medicom Inc 4049 Allen Station Rd Ste A, Augusta, GA 30906-8734 Wholesaler of Drugs, Cosmetics & Medical Devices 2020-07-01 ~ 2021-06-30
Augusta Medical Systems LLC 1027 Broad St, Augusta, GA 30901-1142 Wholesaler of Drugs, Cosmetics & Medical Devices 2020-07-01 ~ 2021-06-30
Kenny Susanto 1120 15th St, Augusta, GA 30912 Resident Physician 2020-07-01 ~ 2021-06-30
Elizabeth B Eubanks 2829 Lombardy Ct, Augusta, GA 30909-3901 Registered Nurse 2020-08-01 ~ 2021-07-31
Yumeris De Jesus Baez 2803 Ridgecrest Dr, Augusta, GA 30907-4821 Registered Nurse ~
Carrie Lynn Wimer 165 Queen Dr, Augusta, WV 26704-7643 Registered Nurse - Temporary 2020-04-30 ~ 2020-08-28
Richard J Raskin 15 Enterprise Dr, Augusta, ME 04330-7997 Physician/surgeon 2020-04-01 ~ 2021-03-31
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City Augusta
Zip Code 49012
License Type Registered Nurse
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Dataset Information

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).

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