KATIE L PETERSEN (Credential# 1256395) is licensed (Physical Therapist) 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.
KATIE L PETERSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.010387. The credential type is physical therapist. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 24 Elaine Drive, Broad Brook, CT 06016-9700. The current status is active.
| Licensee Name | KATIE L PETERSEN |
| Credential ID | 1256395 |
| Credential Number | 14.010387 |
| Credential Type | Physical Therapist |
| Business Address |
24 Elaine Drive Broad Brook CT 06016-9700 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-02-04 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-12-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1257181 | 14.010353-TEMP | PT Temporary Permit | 2014-12-02 | 2014-12-02 - 2015-02-04 | INACTIVE |
| Street Address | 24 Elaine Drive |
| City | BROAD BROOK |
| State | CT |
| Zip Code | 06016-9700 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew T Moore | 67 Middle Road, Broad Brook, CT 06016 | Emergency Medical Technician | 2018-08-02 ~ 2020-03-31 |
| Dallas W Hosmer | N24 Mill Pond Drive, Broad Brook, CT 06016 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2020-08-31 |
| Cathryn E Carroll | 127 East Road, Broad Brook, CT 06016 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jonathan E Marino · J M Affordable Landscaping | 319 Canyon Ridge Drive, Broad Brook, CT 06016 | Home Improvement Contractor | 2018-09-04 ~ 2019-11-30 |
| Heather Allison Kun | 2 Jessie Ln, Broad Brook, CT 06016 | Registered Nurse | ~ |
| Anna J Mangiafico · Kement | 35 Sullivan Farm Road, Broad Brook, CT 06016 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Melissa V La Belle | 17 C Folkstone Road, Broad Brook, CT 06016 | Notary Public Appointment | 2020-04-01 ~ 2025-03-31 |
| Andrea Kopec | 406 Canyon Ridge Drive, Broad Brook, CT 06016 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Stephen C Quesnel | 16 Maple Avenue (po Box 349), Broad Brook, CT 06016 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
| Sophie Carter | 41 Skinner Road, Broad Brook, CT 06016 | Real Estate Salesperson | ~ |
| Find all Licenses in zip 06016 | |||
| City | BROAD BROOK |
| Zip Code | 06016 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + BROAD BROOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donna M Flynn | 37 Petersen Road, Granby, CT 06035 | Physical Therapist Assistant | 2019-11-01 ~ 2020-10-31 |
| Susan S Kelly | 14 Katie Joe Ln, Branford, CT 06405-4761 | Physical Therapist | 2017-11-01 ~ 2018-10-31 |
| Katie M Finnegan | 24 Hamilton Ave., Stamford, CT 06902 | Physical Therapist | 2001-11-19 ~ 2003-01-31 |
| Katie E Leiser | 9 Prospect St # 9b, Bethel, CT 06801-2218 | Physical Therapist | 2013-06-01 ~ 2014-05-31 |
| Katie Ann Kepner | 4 Dartley St, Stamford, CT 06905-3507 | Physical Therapist Assistant | 2012-08-01 ~ 2013-07-31 |
| Katie E Phillips | 821 Roosevelt Street, Port Townsend, WA 98368 | Physical Therapist Assistant | 2009-03-03 ~ 2010-04-30 |
| Katie A Cestia · Cherhoniak | 6116 W Azalea, Lake Charles, LA 70605-3105 | Physical Therapist | 2010-01-01 ~ 2010-12-31 |
| Dwight G Petersen · P G Petersen Restorations | 39 Lancaster Rd, Manchester, CT 06040 | Home Improvement Contractor | 2001-12-01 ~ 2002-11-30 |
| A C Petersen | 107 Main St, New Hartford, CT 06057 | Frozen Dessert Retailer | 1996-03-01 ~ 1996-12-31 |
| Jon D Petersen LLC | 846 Ridgewood Rd, Middletown, CT 06457-1735 | Professional Engineering Corporation | 2019-10-09 ~ 2020-10-08 |
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| 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).