SAMANTHA M DURRETT (Credential# 1355047) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
SAMANTHA M DURRETT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001715. The credential type is physical therapist assistant. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 517 Quaker Ln S, West Hartford, CT 06110-1041. The current status is active.
| Licensee Name | SAMANTHA M DURRETT |
| Credential ID | 1355047 |
| Credential Number | 63.001715 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
517 Quaker Ln S West Hartford CT 06110-1041 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-07-13 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-07-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1355860 | 63.001696-TEMP | PTA Temporary Permit | 2016-05-23 | 2016-05-23 - 2016-07-13 | INACTIVE |
| Street Address | 517 QUAKER LN S |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06110-1041 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel P Johnson | 521 Quaker Ln S, West Hartford, CT 06110-1041 | Real Estate Salesperson | 2016-06-13 ~ 2017-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diem Thuy Nguyen | 25 Brian Road, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Dominick E Deslauriers | 67 Red Top Drive, West Hartford, CT 06110 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Markos Raptis Dds | 61 Park Place Circle, West Hartford, CT 06110 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Keith A Dumond | 83 Mayflower Street, West Hartford, CT 06110 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Yayan Tong | 6 Steven St, West Hartford, CT 06110 | Nail Technician | ~ |
| Apsara Thapa | 15 Lewis Lane, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Aneudi J Rodriguez Perez | 24 Elmhurt Circle, West Hartford, CT 06110 | Real Estate Salesperson | ~ |
| Frances B Gurtman Md | 445 S Main Street, West Hartford, CT 06110 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Diana M Rodriguez | 445 South Main St, West Hartford, CT 06110 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jong Lee | 6 Timothy, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06110 | |||
| City | WEST HARTFORD |
| Zip Code | 06110 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samantha M Jordan | 777 Laura Dr, Marion, OH 43302 | Physical Therapist Assistant | 2020-05-01 ~ 2021-04-30 |
| Samantha R Reikowski | 1825 W Sloan Rd, Burt, MI 48417-9628 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| Samantha J Vear | 11 Mountain Hill Rd, North Grosvenordale, CT 06255 | Physical Therapist Assistant | 2020-03-01 ~ 2021-02-28 |
| Samantha Jae Vaal | 627 Brighton Park Way Unit 3301, Bloomfield, CT 06002-3175 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
| Samantha Reif | 85 Camp Ave, Stamford, CT 06907 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Samantha L Sailer | 55 Lambert Dr, Stratford, CT 06614-2616 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Stephanie Hill | 20 Samantha Lane, Madison, CT 06443 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Samantha G Giuliani | 75 Olde Orchard Rd, Clinton, CT 06413 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Samantha J Akerson | 67 Deacon Hill Rd, Stamford, CT 06905-3011 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Samantha A Van Zyl | 8 Umgeni Rd - River Club, 2191 | Physical Therapist | 2017-05-01 ~ 2018-04-30 |
Please comment or provide details below to improve the information on SAMANTHA M DURRETT.
| 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).