KEITH A SHAMPER (Credential# 874337) is licensed (Advanced Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is August 19, 2013. The license expiration date date is October 1, 2016. The license status is INACTIVE.
KEITH A SHAMPER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #71.000341. The credential type is advanced emergency medical technician. The effective date is August 19, 2013. The expiration date is October 1, 2016. The business address is 114 Farmington Ave, Bristol, CT 06010-4218. The current status is inactive.
| Licensee Name | KEITH A SHAMPER |
| Credential ID | 874337 |
| Credential Number | 71.000341 |
| Credential Type | Advanced Emergency Medical Technician |
| Business Address |
114 Farmington Ave Bristol CT 06010-4218 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-01-15 |
| Effective Date | 2013-08-19 |
| Expiration Date | 2016-10-01 |
| Refresh Date | 2017-01-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 841309 | 70.001575 | Emergency Medical Technician | 2001-07-02 | 2002-10-07 - 2004-10-01 | INACTIVE |
| Street Address | 114 FARMINGTON AVE |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-4218 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah C Terry | 146 Farmington Ave, Bristol, CT 06010-4218 | Chiropractor | 2019-07-01 ~ 2020-06-30 |
| Robert J Ouellette Jr | 156 Farmington Ave, Bristol, CT 06010-4218 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jessica Celeste Custodio · El Sazon De Mama Restaurant | 188 Farmington Ave, Bristol, CT 06010-4218 | Restaurant Beer | 2016-07-08 ~ 2017-07-07 |
| Kevin Evans · Evans Home Improvement | 182 Farmington Ave, Bristol, CT 06010-4218 | Home Improvement Contractor | 2005-05-11 ~ 2005-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | Advanced Emergency Medical Technician |
| License Type + County | Advanced Emergency Medical Technician + BRISTOL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keith T Bukowski | 26 Oldham Road, Wethersfield, CT 06109 | Advanced Emergency Medical Technician | ~ 1998-04-01 |
| Keith A Dawson | 15 Cotton Trail Lane, North Haven, CT 06473 | Advanced Emergency Medical Technician | 2006-03-31 ~ 2008-01-01 |
| Cathy P Keith | 35 Keith Road, Warren, CT 06754 | Emergency Medical Technician | ~ 1992-04-01 |
| Keith T Snodgrass | P.o. Box 513, Dayville, CT 06241 | Emergency Medical Technician | ~ 1999-10-01 |
| Stephanie L Keith | P.o. Box 36, Fossil, OR 97830 | Emergency Medical Technician | 2007-11-07 ~ 2008-10-01 |
| Keith A Pelletier | P.o. Box 154, Oakdale, CT 06370-0154 | Emergency Medical Technician | ~ 2000-10-01 |
| Keith L Wille | Po Box 729, Groton, CT 06340-0729 | Emergency Medical Technician | 2012-06-13 ~ 2014-10-01 |
| Keith W Spellman | Bridgeport, CT 06606 | Emergency Medical Technician | ~ 1997-07-01 |
| E. Keith Harvill | Po Box 427, Norfolk, CT 06058-0427 | Emergency Medical Technician | 2016-08-09 ~ 2019-03-31 |
| Keith R Christadore | P.o. Box 157, Hampton, CT 06247 | Emergency Medical Technician | 2005-05-17 ~ 2008-07-01 |
Please comment or provide details below to improve the information on KEITH A SHAMPER.
| 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).