SANDRA L SHEPARD
Nursing Home Administrator


Address: 330 Dalton Division, Pittsfield, MA 01201

SANDRA L SHEPARD (Credential# 765499) is licensed (Nursing Home Administrator) with Connecticut Department of Consumer Protection. The license effective date is August 23, 2002. The license expiration date date is May 31, 2003. The license status is INACTIVE.

Business Overview

SANDRA L SHEPARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #36.001260. The credential type is nursing home administrator. The effective date is August 23, 2002. The expiration date is May 31, 2003. The business address is 330 Dalton Division, Pittsfield, MA 01201. The current status is inactive.

Basic Information

Licensee Name SANDRA L SHEPARD
Credential ID 765499
Credential Number 36.001260
Credential Type Nursing Home Administrator
Business Address 330 Dalton Division
Pittsfield
MA 01201
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1991-07-24
Effective Date 2002-08-23
Expiration Date 2003-05-31
Refresh Date 2009-07-08

Office Location

Street Address 330 DALTON DIVISION
City PITTSFIELD
State MA
Zip Code 01201

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Brent M White 8 Charisma Drive, Pittsfield, MA 01201 Professional Engineer 2020-02-01 ~ 2021-01-31
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Frank J Paskowski Jr 107 Clydesdale Dr, Pittsfield, MA 01201 Professional Engineer 2020-02-01 ~ 2021-01-31
Roy M Andersen Jr 22 Revere Parkway, Pittsfield, MA 01201 Professional Engineer 2020-02-01 ~ 2021-01-31
Harley Keisch 197 View Dr, Pittsfield, MA 01201 Registered Nurse 2019-12-04 ~ 2020-10-31
Robert E Post Jr 233 Eleanor Road, Pittsfield, MA 01201 Notary Public Appointment 2019-10-15 ~ 2024-10-31
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Competitor

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City PITTSFIELD
Zip Code 01201
License Type Nursing Home Administrator
License Type + County Nursing Home Administrator + PITTSFIELD

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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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