SHIRLEY A FONTAINE (Credential# 1264049) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
SHIRLEY A FONTAINE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001558. The credential type is physical therapist assistant. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 441 Milford St, Burlington, CT 06013-2212. The current status is active.
| Licensee Name | SHIRLEY A FONTAINE |
| Doing Business As | VIOLETTE |
| Credential ID | 1264049 |
| Credential Number | 63.001558 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
441 Milford St Burlington CT 06013-2212 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-04-16 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-10-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 732001 | 20.048439 | Hairdresser/Cosmetician | 1997-07-18 | 2018-11-01 - 2020-10-31 | ACTIVE |
| Street Address | 441 MILFORD ST |
| City | BURLINGTON |
| State | CT |
| Zip Code | 06013-2212 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Claude's Home Improvement LLC | 423 Milford St, Burlington, CT 06013-2212 | Home Improvement Contractor | 2010-05-27 ~ 2010-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amanda L Obrizzo | 81 W Side Blvd, Burlington, CT 06013 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Gwendolyn A Nowacki | 16 Village Ln, Burlington, CT 06013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Erinne P Houton | 298 Jerome Ave, Burlington, CT 06013 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Subway of Burlington | 292 Spielman Hwy, Burlington, CT 06013 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Aneta Gurtowsky | 2 West Ledge Road, Burlington, CT 06013 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Maria L Main | 79 Pine Hill Road, Burlington, CT 06013 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven T Miles | 26 Angelas Way, Burlington, CT 06013 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Sally A Larsen | 515 Jerome Avenue, Burlington, CT 06013 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Barbara C Grindal | 118 Punch Brook Rd, Burlington, CT 06013 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Insu Kim | 48 Monce Rd, Burlington, CT 06013 | Nail Technician | 2020-06-18 ~ 2022-04-30 |
| Find all Licenses in zip 06013 | |||
| City | BURLINGTON |
| Zip Code | 06013 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + BURLINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christine M Hanley | 27 Leominster Rd # C, Shirley, MA 01464-2006 | Physical Therapist Assistant | 2016-02-01 ~ 2017-01-31 |
| Shirley D Verner | 69 Lambert Drive, Norwich, CT 06340 | Physical Therapist Assistant | 2020-04-01 ~ 2021-03-31 |
| Shirley J Parzych · Shirley Fisher | 25 Freeman Rd, Charlton, MA 01507 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Kristine M Fontaine | 19 Kingsbury Rd, Webster, MA 01570 | Physical Therapist | 2000-12-28 ~ 2001-12-31 |
| Young-jae Fontaine | 108 Nooth Broadway, Irvington, NY 10533 | Physical Therapist | ~ |
| Nicholas Fontaine | 4463 Gresham Street, San Diego, CA 92109 | Physical Therapist | 2007-12-10 ~ 2009-01-31 |
| Shirley Adesanya | 199 Yacht St Apt 204, Bridgeport, CT 06605-2774 | Occupational Therapist Assistant | 2015-08-01 ~ 2016-01-07 |
| Marileni Brisita | 164 River Rd # A, Shirley, NY 11967-1553 | Physical Therapist | 2019-07-01 ~ 2019-11-30 |
| Shirley C Chasin | 65 Turtle Bay Drive, Branford, CT 06405 | Physical Therapist | 2001-08-01 ~ 2002-09-30 |
| Shirley K Mudzinski | 6 Farm Hill Rd, Wallingford, CT 06492 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on SHIRLEY A FONTAINE.
| 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).