JEREMY R FIELDS (Credential# 1299709) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JEREMY R FIELDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001620. The credential type is physical therapist assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 339 Tomaquag Rd, Ashaway, RI 02804-2912. The current status is active.
| Licensee Name | JEREMY R FIELDS |
| Credential ID | 1299709 |
| Credential Number | 63.001620 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
339 Tomaquag Rd Ashaway RI 02804-2912 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-10-15 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-05-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 778212 | 54.000413 | Athletic Trainer | 2007-02-14 | 2020-05-01 - 2021-04-30 | ACTIVE |
| 1303438 | 63.001609-TEMP | PTA Temporary Permit | 2015-08-11 | 2015-08-11 - 2015-10-15 | INACTIVE |
| Street Address | 339 TOMAQUAG RD |
| City | ASHAWAY |
| State | RI |
| Zip Code | 02804-2912 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kimberly L Fields | 339 Tomaquag Rd, Ashaway, RI 02804-2912 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer M Masterson | 321 Tomaquag Rd, Ashaway, RI 02804-2912 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sara Beth Connell | 355 Woodville Rd, Ashaway, RI 02804 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Judith M Capalbo | 16 South Drive, Ashaway, RI 02804 | Licensed Practical Nurse | 2020-05-01 ~ 2021-04-30 |
| Lisa M Menard-manlove | 5 Cherry Drive, Ashaway, RI 02804 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Nicholas Fizzano | 10b Crandall Lane, Ashaway, RI 02804 | Backflow Prevention Device Tester | 2017-09-08 ~ 2020-12-31 |
| Kimberly Rees | P O Box 2, Ashaway, RI 02804 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Jeffrey B Champlin | 1 South Dr, Ashaway, RI 02804 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Stacy A Reagan | 5 Clay St., Ashaway, RI 02804 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Steven J Shilling | 85 Oak St., Ashaway, RI 02804 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Bernard W Frisbee | 10 South Dr, Ashaway, RI 02804 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Ryan Patrick O'leary | 19 South Dr, Ashaway, RI 02804 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Find all Licenses in zip 02804 | |||
| City | ASHAWAY |
| Zip Code | 02804 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + ASHAWAY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan S Chieppo | 122 Five Fields Rd, Madison, CT 06443-2558 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Bradley Russell | 127 Five Fields Rd, Madison, CT 06443-2532 | Physical Therapist | ~ |
| Makenzie E Anderson | 18 Chatham Fields Rd, East Hampton, CT 06424-1235 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Melissa J Morin | 9 Strawberry Fields Rd, Granby, CT 06035-2927 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Allison L Anderson | 18 Chatham Fields Road, East Hampton, CT 06424 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Jeremy L Luena | 91 Colony Ave, Trumbull, CT 06611 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Jeremy A Duncan | 26 Elm Road, Cromwell, CT 06416 | Occupational Therapist Assistant | 1999-05-26 ~ 2001-07-31 |
| Dawn Lesinski | 39 Jeremy River Dr, Colchester, CT 06415-2414 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Jeremy M Deangulo | 315 West Hill Rd, Newington, CT 06111 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Jeremy Baber | 303 Clermont Ave # 3, Brooklyn, NY 11205-4605 | Physical Therapist | 2015-02-01 ~ 2016-01-31 |
Please comment or provide details below to improve the information on JEREMY R FIELDS.
| 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).