FABIOLA SIMONE
Physical Therapist Assistant


Address: 72 Hayes St, Freeport, NY 11520-5025

FABIOLA SIMONE (Credential# 1049702) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2014. The license expiration date date is November 30, 2015. The license status is INACTIVE.

Business Overview

FABIOLA SIMONE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001254. The credential type is physical therapist assistant. The effective date is December 1, 2014. The expiration date is November 30, 2015. The business address is 72 Hayes St, Freeport, NY 11520-5025. The current status is inactive.

Basic Information

Licensee Name FABIOLA SIMONE
Credential ID 1049702
Credential Number 63.001254
Credential Type Physical Therapist Assistant
Business Address 72 Hayes St
Freeport
NY 11520-5025
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-05-03
Effective Date 2014-12-01
Expiration Date 2015-11-30
Refresh Date 2016-03-04

Office Location

Street Address 72 HAYES ST
City FREEPORT
State NY
Zip Code 11520-5025

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Maria G Barreiro 160 Westside Ave, Freeport, NY 11520 Registered Nurse ~
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Troy Eisner 429 Atlantic Avenue, Freeport, NY 11520 Tax Preparer/facilitator Permit 2020-02-11 ~ 2022-02-28
Kemesha Charles 64 Mount Joy Avenue, Freeport, NY 11520 Licensed Practical Nurse 2020-01-01 ~ 2020-12-31
Dependable Windows Co Inc 409 North Main St, Freeport, NY 11520 Home Improvement Contractor 2019-12-01 ~ 2020-11-30
Michael S Carrington 26 Maryland Avenue, Freeport, NY 11520 Notary Public Appointment 2002-07-01 ~ 2007-06-30
Allied Corp 46 East Ave, Freeport, NY 11520 Home Improvement Contractor 2019-12-01 ~ 2020-11-30
Barbara H Micciulli · Higgins 288 Park Avenue, Freeport, NY 11520 Registered Nurse 2020-01-01 ~ 2020-12-31
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Competitor

Search similar business entities

City FREEPORT
Zip Code 11520
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + FREEPORT

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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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