NICHOLAS J MONCADA JR
Physical Therapist Assistant


Address: 156 Lakeside Ave, Middletown, CT 06457-4161

NICHOLAS J MONCADA JR (Credential# 1328037) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

NICHOLAS J MONCADA JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001677. The credential type is physical therapist assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 156 Lakeside Ave, Middletown, CT 06457-4161. The current status is active.

Basic Information

Licensee Name NICHOLAS J MONCADA JR
Credential ID 1328037
Credential Number 63.001677
Credential Type Physical Therapist Assistant
Business Address 156 Lakeside Ave
Middletown
CT 06457-4161
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-04-15
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1328495 63.001637-TEMP PTA Temporary Permit 2016-01-12 2016-01-12 - 2016-04-15 INACTIVE

Office Location

Street Address 156 LAKESIDE AVE
City MIDDLETOWN
State CT
Zip Code 06457-4161

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Licensee Name Office Address Credential Effective / Expiration
Donna M Nosal · Randall 156 Lakeside Ave, Middletown, CT 06457 Registered Nurse 2008-07-17 ~ 2009-09-30

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Jialiang Zheng 130 Lakeside Ave, Middletown, CT 06457-4161 Home Improvement Contractor 2018-02-05 ~ 2018-11-30
Brendan Dymes 140 Lakeside Ave Apt 6, Middletown, CT 06457-4161 Embalmer Apprentice 2016-03-01 ~ 2016-04-29

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Competitor

Search similar business entities

City MIDDLETOWN
Zip Code 06457
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + MIDDLETOWN

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Nicholas Quarrier P.o. Box 209, Ithaca, NY 14851 Physical Therapist 2007-06-28 ~ 2008-08-31
Nicholas A Kirkpatrick 25 3rd St Apt 210, Stamford, CT 06905-5124 Physical Therapist 2017-08-01 ~ 2018-07-31
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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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