HEATHER A SHACKETT (Credential# 741825) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 14, 1994. The license expiration date date is March 31, 1995. The license status is INACTIVE.
HEATHER A SHACKETT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000076. The credential type is physician assistant. The effective date is March 14, 1994. The expiration date is March 31, 1995. The business address is 185 Pine St #617, Manchester, CT 06040. The current status is inactive.
| Licensee Name | HEATHER A SHACKETT |
| Credential ID | 741825 |
| Credential Number | 23.000076 |
| Credential Type | Physician Assistant |
| Business Address |
185 Pine St #617 Manchester CT 06040 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1993-07-30 |
| Effective Date | 1994-03-14 |
| Expiration Date | 1995-03-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 185 PINE ST #617 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Shackett · Bob Shackett Home Improvements | 9 Randolph Avenue 1st Fl, Meriden, CT 06451 | Home Improvement Contractor | 2002-12-01 ~ 2003-11-30 |
| Heather Bryant | 851 Ne 1st Ave, Miami, FL 33132 | Physician Assistant | 2018-10-30 ~ 2019-04-30 |
| Heather A Bowdre | 40 Prospect Ave, Norwalk, CT 06850-3737 | Physician Assistant | 2010-07-01 ~ 2011-06-30 |
| Heather L Storms Pa | 33 Hospital Ave, Danbury, CT 06810 | Physician Assistant | 2004-03-23 ~ 2005-05-31 |
| Heather Nickerson | 308 Killingworth Rd, Higganum, CT 06441 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Heather M Peterson | 31 Delmor Ave, Wilbraham, MA 01095-1554 | Physician Assistant | 2013-10-04 ~ 2014-07-31 |
| Heather M Tomchik | 12 Quail Run Dr, Danbury, CT 06811-5128 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Heather A Hooper | 729 Quinnipiac Ave, New Haven, CT 06513 | Physician Assistant | 1996-01-29 ~ 1997-02-28 |
| Heather M Rynkowski | 16 Hillwood Dr, Niantic, CT 06357-1823 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Heather A Jolicoeur | 105 Holley Rd, Bristol, CT 06010-5261 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on HEATHER A SHACKETT.
| 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).