LISA E SHAKUN PA-C (Credential# 743985) is licensed (Physician Assistant) 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.
LISA E SHAKUN PA-C is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002236. The credential type is physician assistant. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 5 Dunbar Drive, Windsor, CT 06095. The current status is active.
| Licensee Name | LISA E SHAKUN PA-C |
| Credential ID | 743985 |
| Credential Number | 23.002236 |
| Credential Type | Physician Assistant |
| Business Address |
5 Dunbar Drive Windsor CT 06095 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-02-10 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 526017 | CSP.0045179 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-03-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 5 Dunbar Drive |
| City | Windsor |
| State | CT |
| Zip Code | 06095 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cherene M Scott | 123 Clover St, Windsor, CT 06095 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marianne Lauri | 9 Mohawk Circle, Windsor, CT 06095 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Elaine R Birthwright Rowe | 71 Ford Road, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Annmarie Blair-atkinson | 19 Hope Circle, Windsor, CT 06095 | Medication Administration Certification | 2020-05-23 ~ 2022-05-22 |
| Cristina Valente | 39 Lochview Dr, Windsor, CT 06095 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Bridget C Tran | 500 Huckleberry Rd, Windsor, CT 06095 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Kelli Price | 15 Berrios Hill Road, Windsor, CT 06095 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Yalanda Squirewell | 217 Willowcrest Drive, Windsor, CT 06095 | Real Estate Salesperson | ~ |
| Omason O Modeste | 30 Lepage Rd, Windsor, CT 06095 | Emergency Medical Technician | 2017-04-06 ~ 2020-06-30 |
| Mark E Allen | 372 Broad St, Windsor, CT 06095 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06095 | |||
| City | Windsor |
| Zip Code | 06095 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Windsor |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marshall A Shakun | 34 Jerome Ave, Bloomfield, CT 06002 | Certified Public Accountant Firm Permit | 1989-02-07 ~ 1989-12-31 |
| Harlan J Shakun | 34 Jerome Avenue, Bloomfield, CT 06002 | Certified Public Accountant Firm Permit | 1990-01-19 ~ 1990-12-31 |
| Shakun & Company | 34 Jerome Avenue, Bloomfield, CT 06002 | Certified Public Accountant Firm Permit | 1987-01-23 ~ 1987-12-31 |
| Marshall Shakun | 1 Regency Drive, Bloomfield, CT 06002 | Certified Public Accountant Firm Permit | 1985-01-01 ~ 1985-12-31 |
| Shakun & Company Cpas | 34 Jerome Avenue, Bloomfield, CT 06002 | Certified Public Accountant Firm Permit | 2020-01-01 ~ 2020-12-31 |
| Lisa A. White | 4 Carlton Ln, Hopkinton, RI 02833-1103 | Physician Assistant | 2019-07-01 ~ 2020-06-30 |
| Lisa C Perry Pa | 109 Reverknolls, Avon, CT 06001-2038 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Ann Marie Schoppmann Pa | 11 Lisa Ln, Woodbridge, CT 06525 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Lisa M Collison | 6 Sundon Lane, Old Saybrook, CT 06475 | Physician Assistant | 1999-07-16 ~ 2000-09-30 |
| Lisa L Belanger Pa | 11 Union Place, Manchester, CT 06040 | Physician Assistant | 2004-07-07 ~ 2005-07-31 |
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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).