SHANNON LAMBERT
Physician Assistant


Address: 96 Corey Colonial, Agawam, MA 01001-2749

SHANNON LAMBERT (Credential# 902554) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2011. The license expiration date date is November 30, 2012. The license status is INACTIVE.

Business Overview

SHANNON LAMBERT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002355. The credential type is physician assistant. The effective date is December 1, 2011. The expiration date is November 30, 2012. The business address is 96 Corey Colonial, Agawam, MA 01001-2749. The current status is inactive.

Basic Information

Licensee Name SHANNON LAMBERT
Credential ID 902554
Credential Number 23.002355
Credential Type Physician Assistant
Business Address 96 Corey Colonial
Agawam
MA 01001-2749
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-11-18
Effective Date 2011-12-01
Expiration Date 2012-11-30
Refresh Date 2013-03-06

Office Location

Street Address 96 COREY COLONIAL
City AGAWAM
State MA
Zip Code 01001-2749

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Competitor

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City AGAWAM
Zip Code 01001
License Type Physician Assistant
License Type + County Physician Assistant + AGAWAM

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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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