HALID DERVISEVIC (Credential# 1285619) 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.
HALID DERVISEVIC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001783. 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 53 Wolcott Hill Rd Apt C19, Wethersfield, CT 06109-1162. The current status is active.
Licensee Name | HALID DERVISEVIC |
Credential ID | 1285619 |
Credential Number | 63.001783 |
Credential Type | Physical Therapist Assistant |
Business Address |
53 Wolcott Hill Rd Apt C19 Wethersfield CT 06109-1162 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2017-02-06 |
Effective Date | 2019-11-01 |
Expiration Date | 2020-10-31 |
Refresh Date | 2019-09-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1207134 | 14 | Physical Therapist | - | EXPIRED APPLICATION |
Street Address | 53 WOLCOTT HILL RD APT C19 |
City | WETHERSFIELD |
State | CT |
Zip Code | 06109-1162 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06109 |
City | WETHERSFIELD |
Zip Code | 06109 |
License Type | Physical Therapist Assistant |
License Type + County | Physical Therapist Assistant + WETHERSFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
One A Any | 123, Avon, CT 06001 | Physical Therapist Assistant | 2001-01-31 ~ 2002-01-01 |
Antony Pinto | Bronx, NY 10461 | Physical Therapist Assistant | ~ |
Dollyann Echevarria | Carolina, PR 00983 | Physical Therapist Assistant | ~ |
Kim A Koponen | 36 Bartlett Ave., Norwalk, CT 06850 | Physical Therapist Assistant | ~ 2006-11-01 |
Krista S Bondshu | Pob 808, Mariposa, CA 95338 | Physical Therapist Assistant | ~ 2006-11-01 |
Sambath Tith | Po Box 666, Carlisle, PA 17013 | Physical Therapist Assistant | 2019-07-01 ~ 2020-06-30 |
Maxwell King | 48 Moorland Ave, Cranston, RI 02905-3513 | Physical Therapist Assistant | ~ |
Phyllis G Robinson | Po Box 88, Canaan, CT 06018-0088 | Physical Therapist Assistant | 2019-09-01 ~ 2020-08-31 |
Joshua J Bucko | Po Box 313, Mystic, CT 06355-0313 | Physical Therapist Assistant | 2020-03-01 ~ 2021-02-28 |
Ann B O'connor | 21 Waterville Rd., Avon, CT 06001 | Physical Therapist Assistant | ~ 2006-11-01 |
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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).