RUSSELL J BODURTHA (Credential# 1425421) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
RUSSELL J BODURTHA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011630. The credential type is physical therapist. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 62 Pine Mountain Rd, Redding, CT 06896-2716. The current status is active.
| Licensee Name | RUSSELL J BODURTHA |
| Credential ID | 1425421 |
| Credential Number | 14.011630 |
| Credential Type | Physical Therapist |
| Business Address |
62 Pine Mountain Rd Redding CT 06896-2716 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-09-26 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-05-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1429179 | 14.011394-TEMP | PT Temporary Permit | 2017-06-05 | 2017-06-05 - 2017-10-02 | INACTIVE |
| Street Address | 62 PINE MOUNTAIN RD |
| City | REDDING |
| State | CT |
| Zip Code | 06896-2716 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen L Hansen | 42 Pine Mountain Rd, Redding, CT 06896-2716 | Massage Therapist | 2017-06-01 ~ 2020-05-31 |
| Michael Laszlo Doery | 34 Pine Mountain Rd, Redding, CT 06896-2716 | Certified Public Accountant License | 2010-01-01 ~ 2010-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alison Diskin | 55 Black Rock Turnpike, Redding, CT 06896 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Regina O'brien | 17 Stepney Rd, Redding, CT 06896 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Lisa Curman Dds | 30 Faview Farm Rd, Redding, CT 06896 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Phyllis Yanney | 47 High Ridge Rd, Redding, CT 06896 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Pelzar | 6 Cricklewood Road, Redding, CT 06896 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Michele R Grande | 52 Huckleberry Road, Redding, CT 06896 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Mark A Mason | 423 Newtown Turnpike, Redding, CT 06896 | Real Estate Salesperson | ~ |
| Little Meadow Farm | 313 Redding Rd, Redding, CT 06896 | Farm Distillery Liquor | 2020-05-12 ~ 2021-09-11 |
| Leonard W Topping IIi | 94 Mountain Road, Redding, CT 06896 | Real Estate Salesperson | 2020-03-03 ~ 2021-05-31 |
| Robert P Parisot | 109 Mountain Road, West Redding, CT 06896 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06896 | |||
| City | REDDING |
| Zip Code | 06896 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + REDDING |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bradley Russell | 127 Five Fields Rd, Madison, CT 06443-2532 | Physical Therapist | ~ |
| Kimberly A Donnelly | 500 Russell Ave, Suffield, CT 06078-1612 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Russell A. Logerfo | 8 Leonard Ave, Plattsburgh, NY 12901-2545 | Physical Therapist | 2012-07-01 ~ 2013-06-30 |
| Russell W Tassinari | 600 Malden Ave E, Seattle, WA 98112 | Physical Therapist | ~ 1998-04-30 |
| Matthew C Nash | 16 Russell Rd, Milford, CT 06460-7038 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
| Krista J Russell | 178 New State Rd Apt 17, Manchester, CT 06042-7942 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Russell Evan D Ong | 9606 N Boston Ave # 37, Lubbock, TX 79415-9628 | Physical Therapist | 2010-02-01 ~ 2011-01-31 |
| Russell P Velasco | 743 Woodberry Road, Lexington, SC 29073 | Physical Therapist | 2012-06-01 ~ 2013-05-31 |
| Russell M Woodman | 3 Tamarac Swamp Rd, Wallingford, CT 06492 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Kevin T Russell | 22 Nancy Lynn Ln, Oxford, CT 06478-1217 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
Please comment or provide details below to improve the information on RUSSELL J BODURTHA.
| 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).