HALID DERVISEVIC
Physical Therapist Assistant


Address: 53 Wolcott Hill Rd Apt C19, Wethersfield, CT 06109-1162

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.

Business Overview

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.

Basic Information

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

Other licenses

ID Credential Code Credential Type Issue Term Status
1207134 14 Physical Therapist - EXPIRED APPLICATION

Office Location

Street Address 53 WOLCOTT HILL RD APT C19
City WETHERSFIELD
State CT
Zip Code 06109-1162

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Steven C Hine 294 Hang Dog Ln, Wethersfield, CT 06109 Architect 2020-08-01 ~ 2021-07-31
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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
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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
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Competitor

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City WETHERSFIELD
Zip Code 06109
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + WETHERSFIELD

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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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