ALBERTINE - SMITH
Physical Therapist Assistant


Address: 39 Randolph Drive, Bangor, ME 04401

ALBERTINE - SMITH (Credential# 1380290) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 12, 2016. The license expiration date date is August 31, 2017. The license status is INACTIVE.

Business Overview

ALBERTINE - SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001755. The credential type is physical therapist assistant. The effective date is October 12, 2016. The expiration date is August 31, 2017. The business address is 39 Randolph Drive, Bangor, ME 04401. The current status is inactive.

Basic Information

Licensee Name ALBERTINE - SMITH
Credential ID 1380290
Credential Number 63.001755
Credential Type Physical Therapist Assistant
Business Address 39 Randolph Drive
Bangor
ME 04401
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2016-10-12
Effective Date 2016-10-12
Expiration Date 2017-08-31
Refresh Date 2017-12-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1380287 59 Dietitian/Nutritionist - PENDING

Office Location

Street Address 39 Randolph Drive
City Bangor
State ME
Zip Code 04401

Licenses in the same zip code

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Claudine Marie Whyte 96 Otis Street, Bangor, ME 04401 Registered Nurse 2020-04-01 ~ 2021-03-31
Robin G Brittelli 211 Kenduskeag Ave, Bangor, ME 04401 Pharmacist 2020-02-01 ~ 2022-01-31
Antoinette Marie Lake 92 Sidney Street, Bangor, ME 04401 Registered Nurse 2020-01-01 ~ 2020-12-31
Abimbola Mary Iwegbulam 142 Husson Ave, Bangor, ME 04401 Registered Nurse 2019-12-01 ~ 2020-11-30
Joseph Daniel Dupuis 213 Cedar Breeze South, Glenburn, ME 04401 Fire Protection Unlimited Contractor 2019-11-01 ~ 2020-10-31
Edward M Rickard 9 New Boston Rd, Hermon, ME 04401 Paramedic 2019-11-01 ~ 2020-10-31
Augustine Christopher 342 Union Street, Bangor, ME 04401 Registered Nurse 2019-09-01 ~ 2020-08-31
Karl A Andersen 60b Jefferson Street, Bangor, ME 04401 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Paul L Williams 14 Leighton Street, Bangor, ME 04401 Crane Operator 1999-05-03 ~ 2001-05-02
Tina Marie York 55 Madison Street, Bangor, ME 04401 Professional Counselor ~
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Competitor

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City Bangor
Zip Code 04401
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + Bangor

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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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