KOURTNEY A FARM (Credential# 1201043) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
KOURTNEY A FARM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001452. The credential type is physical therapist assistant. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 298 Buddington Rd, Shelton, CT 06484-5311. The current status is active.
| Licensee Name | KOURTNEY A FARM |
| Credential ID | 1201043 |
| Credential Number | 63.001452 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
298 Buddington Rd Shelton CT 06484-5311 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-04-16 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-11-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1208958 | 63.001438-TEMP | PTA Temporary Permit | 2014-02-27 | 2014-02-27 - 2014-04-16 | INACTIVE |
| Street Address | 298 BUDDINGTON RD |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-5311 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lorri A Lea · Ballaro | 286 Buddington Rd, Shelton, CT 06484-5311 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Vanda Sofia Teixeira | 236 Buddington Rd, Shelton, CT 06484-5311 | Hairdresser/cosmetician | 2019-11-01 ~ 2021-10-31 |
| Grace Lane Builders LLC | 306 Buddington Rd, Shelton, CT 06484-5311 | New Home Construction Contractor | 2019-10-01 ~ 2021-09-30 |
| Elizabeth M Labaredas Petrazzuoli | 268 Buddington Rd, Shelton, CT 06484-5311 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| David J Teixeira | 236 Buddington Rd, Shelton, CT 06484-5311 | Electrical Unlimited Contractor | 2019-10-07 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melinda A Blair | 255 Coldstream Farm Rd, Madisonville, TN 37354-6297 | Physical Therapist Assistant | 2019-08-01 ~ 2020-07-31 |
| Eric J Terzini | 11 Hill Farm Way, Barkhamsted, CT 06063-3327 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
| Debra R Breon | 102 Old Town Farm Rd., Woodbury, CT 06798 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
| Sarah D Hill | 10 Town Farm Rd, Putnam, CT 06260-2917 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
| Mark W Kemp | Gaylord Farm Rd, Wallingford, CT 06492 | Physical Therapist Assistant | ~ 2006-11-01 |
| Nicole A Bruno | 70 Sullivan Farm, New Milford, CT 06776-4500 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
| Richard Chavez | 23 Spear Farm Road, Feeding Hills, MA 01030 | Physical Therapist Assistant | 2020-04-01 ~ 2021-03-31 |
| Jennifer Rebecca Qubick | 65 Cutlers Farm Road, Monroe, CT 06468 | Physical Therapist Assistant | 2020-04-01 ~ 2021-03-31 |
| Kourtney Jonece Caple | 82 Diamond St, New Haven, CT 06515-1313 | Family Child Care Assistant | 2019-08-01 ~ 2021-07-31 |
| Holly H Onate | 45 Gates Farm Rd, Lebanon, CT 06249 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on KOURTNEY A FARM.
| 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).