ALEXANDER M BLANK (Credential# 1365254) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
ALEXANDER M BLANK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011196. The credential type is physical therapist. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 78 Poplar Rd, Ridgefield, CT 06877-3221. The current status is active.
| Licensee Name | ALEXANDER M BLANK |
| Credential ID | 1365254 |
| Credential Number | 14.011196 |
| Credential Type | Physical Therapist |
| Business Address |
78 Poplar Rd Ridgefield CT 06877-3221 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-11-03 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1366743 | 14.010997-TEMP | PT Temporary Permit | 2016-07-15 | 2016-07-15 - 2016-11-03 | INACTIVE |
| Street Address | 78 POPLAR RD |
| City | RIDGEFIELD |
| State | CT |
| Zip Code | 06877-3221 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David W Scott | 90 Poplar Rd, Ridgefield, CT 06877-3221 | Architect | 2019-08-01 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen Morrin | 169 Nod Road, Ridgefield, CT 06877 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Elena Yakimova | 8 Lawson Lane, Ridgefield, CT 06877 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Jasmine Gannalo | 35 Clearview Dr, Ridgefield, CT 06877 | Esthetician | 2020-06-26 ~ 2022-06-30 |
| Nicole A Van Alstyne | 105 Stonecrest Road, Ridgefield, CT 06877 | Real Estate Salesperson | ~ |
| Andrea A Delange · Ledina | 5 Copper Beech Lane, Ridgefield, CT 06877 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Mitchell O Hubsher | 77 Chestnut Hill Road, Ridgefield, CT 06877 | Naturopathic Physician | 2020-07-01 ~ 2021-06-30 |
| Milillo Farms | 424 R Main St, Ridgefield, CT 06877 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Marie G Donofrio | 36 Woodlawn Dr, Ridgefield, CT 06877 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jennifer M Kinford | 40 Woodland Way, Ridgefield, CT 06877 | Esthetician | ~ |
| Lauren Elizabeth Pambianchi | 49 11 Levels Road, Ridgefield, CT 06877 | Registered Nurse | ~ |
| Find all Licenses in zip 06877 | |||
| City | RIDGEFIELD |
| Zip Code | 06877 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + RIDGEFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mitchell E Blank | 439 Bigelow Hollow, Eastford, CT 06242-9302 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
| Deborah A Blank | 301 Calhoun Street, Washington Depot, CT 06794 | Physical Therapist | 2000-04-26 ~ 2001-04-30 |
| Point Blank Beverage Inc | 10911 Whearlands Road Suite E, Santee, CA 92071 | Out of State Shipper Beer | 2006-06-29 ~ 2007-06-28 |
| Alexander Shafiro | 89 5th St, Stamford, CT 06905-4704 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Ashley A Yoder | 11 Alexander Ln, Suffield, CT 06078-2429 | Physical Therapist | 2016-09-01 ~ 2017-08-31 |
| Ida Marie P Bollinger | 18 Alexander St, Greenwich, CT 06830-6204 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Rebecca K Alexander | 197 W State St, Granby, MA 01033-9611 | Physical Therapist | 2014-04-01 ~ 2015-03-31 |
| Alexander Lucci | 327 E 101 St Street, New York, NY 10029 | Physical Therapist | 2018-07-01 ~ 2019-06-30 |
| Alexander Garlo | 40 Maple Ter, Westfield, MA 01085-4324 | Physical Therapist | 2019-10-01 ~ 2020-10-31 |
| Catherine G Iway | 21 Alexander St, Greenwich, CT 06830-6336 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on ALEXANDER M BLANK.
| 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).