SHANNON G CARROLL (Credential# 934830) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
SHANNON G CARROLL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008876. The credential type is physical therapist. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 48 Westland Ave, West Hartford, CT 06107-3441. The current status is active.
| Licensee Name | SHANNON G CARROLL |
| Credential ID | 934830 |
| Credential Number | 14.008876 |
| Credential Type | Physical Therapist |
| Business Address |
48 Westland Ave West Hartford CT 06107-3441 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-08-09 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2020-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 934832 | 14-TEMP | PT Temporary Permit | 2010-06-04 - 2010-08-09 | INACTIVE |
| Street Address | 48 Westland Ave |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-3441 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anne M Grady | 48 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rachel M Diamond | 590 Park Rd, West Hartford, CT 06107-3441 | Marital and Family Therapist | 2018-10-01 ~ 2019-09-30 |
| Seth Holmwood Holmes | 596 Park Rd, West Hartford, CT 06107-3441 | Architect | 2017-08-18 ~ 2018-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | WEST HARTFORD |
| Zip Code | 06107 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen A Carroll | 27 Mountain Vw Ave, Ridgefield, CT 06877 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Carroll F Murphy | 333 Prospect Mtn Rd, Litchfield, CT 06759 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Mary E Carroll | 4 Clayton Rd, Randolph, NJ 07869-2001 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Nicholas Carroll | 161 Swain Ave, Meriden, CT 06450-7282 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| Bridget A Mcnamara | 419 Carroll Road, Fairfield, CT 06824 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Mary G Carroll | 2 Broad Street, Westport, CT 06880 | Physical Therapist | 2013-10-01 ~ 2014-09-30 |
| Jonna J Carroll | 175 Flat Iron Rd, Guilford, CT 06437-1414 | Physical Therapist | 2013-10-01 ~ 2014-09-30 |
| Anna Wloch | 65 Carroll Street, New Britain, CT 06053 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Timothy J Carroll | 407 Park Drive, Roswell, NM 88201 | Physical Therapist | ~ 1999-09-30 |
| Shannon Pimentel | 16 Bay St., Fairhaven, MA 06719 | Physical Therapist | 1999-11-02 ~ 2000-06-30 |
Please comment or provide details below to improve the information on SHANNON G CARROLL.
| 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).