BETH-ANNE FAIR (Credential# 1310543) is licensed (Massage Therapist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2021. The license status is ACTIVE.
BETH-ANNE FAIR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #29.008736. The credential type is massage therapist. The effective date is September 1, 2019. The expiration date is August 31, 2021. The business address is Po Box 626, Killingworth, CT 06419-0626. The current status is active.
Licensee Name | BETH-ANNE FAIR |
Credential ID | 1310543 |
Credential Number | 29.008736 |
Credential Type | Massage Therapist |
Business Address |
Po Box 626 Killingworth CT 06419-0626 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2015-10-02 |
Effective Date | 2019-09-01 |
Expiration Date | 2021-08-31 |
Refresh Date | 2019-09-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1221876 | 70.019604 | Emergency Medical Technician | 2015-09-18 | 2015-09-18 - 2017-03-31 | INACTIVE |
Street Address | PO BOX 626 |
City | KILLINGWORTH |
State | CT |
Zip Code | 06419-0626 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rajendra K Bobba | 39 Buell Hill Rd, Killingworth, CT 06419 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Deborah M Cabral | 61 Little Cty Rd, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Cheryl Dickson Toman | 16 Cedar Drive, Killingworth, CT 06419 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Nanci S Coleman | 9 Buell Hill Rd., Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Sondra D Arbona | 21 Robin Ln, Killingworth, CT 06419 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Lisa R Barbour | 32 Boulder Trail, Killingworth, CT 06419 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Barbara K Irzyk | 12 Warwickshire Dr., Killingworth, CT 06419 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
Diane Shauk Shuir | 184 Route 81 Bldg2, Killingworth, CT 06419 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2022-05-31 |
Yvonne Bradley | 42 Fawn Hill Road, Killingworth, CT 06419 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Staci L Petroskey | 140 Little City Road, Killingworth, CT 06419 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06419 |
City | KILLINGWORTH |
Zip Code | 06419 |
License Type | Massage Therapist |
License Type + County | Massage Therapist + KILLINGWORTH |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anne C Tegtmeier | Therapeutic Massage, West Hartford, CT 06107 | Massage Therapist | 2006-05-05 ~ 2008-04-30 |
Diane G Echlin | 73 Fair St., Guilford, CT 06437 | Massage Therapist | 2007-04-05 ~ 2009-04-30 |
Susan R Kousidis | 1 Fair St, Norwalk, CT 06851-4509 | Massage Therapist | 2019-02-01 ~ 2021-01-31 |
Ebony Ann Fair | 36 Wolfpit Ave # C-1, Norwalk, CT 06851-4201 | Massage Therapist | 2019-07-18 ~ 2021-02-28 |
Donna J Truncale | 291 Mount Fair Dr, Watertown, CT 06795-1657 | Massage Therapist | 2020-02-01 ~ 2022-01-31 |
Arlene R Lewis · Butts | 44 Fair St., Wallingford, CT 06492 | Massage Therapist | 2008-09-04 ~ 2010-10-31 |
Maya L Peerzada | 57 Fair Harbour Pl Apt D, New London, CT 06320-4741 | Massage Therapist | 2011-02-01 ~ 2013-01-31 |
Beth-anne Pantazi | 62 Sunvalley Drive, Cumberland, RI 02864 | Occupational Therapist | 2008-04-08 ~ 2009-07-31 |
Matthew K Bruns | 101 Fair Acres Circle, Mystic, CT 06355 | Massage Therapist | 2004-04-02 ~ 2006-01-31 |
Beth Anne Ford | 105 Snow Crystal Lane, Stamford, CT 06905 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
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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).