SANDRA L JOHNSON SHAKALOV
Physical Therapist Assistant


Address: 52 Brooklawn Ave, Stamford, CT 06906-2510

SANDRA L JOHNSON SHAKALOV (Credential# 1226424) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is APPROVED.

Business Overview

SANDRA L JOHNSON SHAKALOV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001484. The credential type is physical therapist assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 52 Brooklawn Ave, Stamford, CT 06906-2510. The current status is approved.

Basic Information

Licensee Name SANDRA L JOHNSON SHAKALOV
Credential ID 1226424
Credential Number 63.001484
Credential Type Physical Therapist Assistant
Business Address 52 Brooklawn Ave
Stamford
CT 06906-2510
Business Type INDIVIDUAL
Status APPROVED - CURRENT
Active 1
Issue Date 2014-07-24
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-06-11

Office Location

Street Address 52 BROOKLAWN AVE
City STAMFORD
State CT
Zip Code 06906-2510

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Oleksandr Shakalov 52 Brooklawn Ave, Stamford, CT 06906 Emergency Medical Technician ~

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Sheneaqua Ryan 60 Brooklawn Ave, Stamford, CT 06906-2510 Esthetician 2020-06-24 ~ 2022-05-31
Rhona S Virtudes 50 Brooklawn Ave, Stamford, CT 06906-2510 Registered Nurse 2020-07-01 ~ 2021-06-30

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Zesheng Jin 301 Hope St, Stamford, CT 06906 Nail Technician 2020-06-17 ~ 2022-01-31
Sherry A Twardy 109 Courtland Hill Street, Stamford, CT 06906 Notary Public Appointment 2020-09-01 ~ 2025-08-31
Chintan Patel · Crazy Grapes 491 Hope St, Stamford, CT 06906 Package Store Liquor 2020-07-18 ~ 2021-07-17
Cosmo J Iadanza 251 Hope Street, Stamford, CT 06906 Real Estate Salesperson 2020-06-05 ~ 2021-05-31
Laura D Nardi 96 Pine Tree Dr., Stamford, CT 06906 Real Estate Salesperson 2020-06-05 ~ 2021-05-31
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Competitor

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City STAMFORD
Zip Code 06906
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + STAMFORD

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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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