SAMANTHA L TOLLEY (Credential# 1429342) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
SAMANTHA L TOLLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011462. The credential type is physical therapist. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 24 Corey Colonial, Agawam, MA 01001-2740. The current status is active.
| Licensee Name | SAMANTHA L TOLLEY |
| Credential ID | 1429342 |
| Credential Number | 14.011462 |
| Credential Type | Physical Therapist |
| Business Address |
24 Corey Colonial Agawam MA 01001-2740 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-26 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2019-11-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1430349 | 14.011421-TEMP | PT Temporary Permit | 2017-06-09 | 2017-06-09 - 2017-10-03 | INACTIVE |
| Street Address | 24 COREY COLONIAL |
| City | AGAWAM |
| State | MA |
| Zip Code | 01001-2740 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pamela J Freeman Brown | 1324 Main Street, Agawam, MA 01001 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ashley Erin Dimauro | 25 Deer Run Road, Agawam, MA 01001 | Registered Nurse | ~ |
| Lou A Fitch | 60 Mallard Circle, Agawam, MA 01001 | Notary Public Appointment | 2015-04-01 ~ 2020-03-31 |
| Maryanne Catanzaro · Catanzaro,leone | 16 Channell Drive, Agawam, MA 01001 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sunhee Hwang | 54 River Rd, Agawam, MA 01001 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-17 ~ 2021-10-31 |
| Taehoon An | 58 River Rd, Agawam, MA 01001 | Nail Technician | 2020-06-17 ~ 2022-05-31 |
| Ji Hye Safarik | 119 Albert St, Agawam, MA 01001 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-16 ~ 2022-02-28 |
| Consuelo Ana Leblanc | 39 Hunting Lane, Agawam, MA 01001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sangkeun Yi | 322 Meadow St, Agwam, MA 01001 | Nail Technician | 2020-06-12 ~ 2022-06-30 |
| Kyunghee Koh | 56 River Road, Agawam, MA 01001 | Nail Technician | 2020-06-12 ~ 2021-08-31 |
| Find all Licenses in zip 01001 | |||
| City | AGAWAM |
| Zip Code | 01001 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + AGAWAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samantha A Van Zyl | 8 Umgeni Rd - River Club, 2191 | Physical Therapist | 2017-05-01 ~ 2018-04-30 |
| Samantha Blazer | 96 Kent La., Trumbull, CT 06611 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Samantha L Perkins | 46 Briarwood Dr, Old Saybrook, CT 06475-2043 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Samantha L Huebner | 47 E Rutland Rd, Milford, CT 06461-1807 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Samantha Christine April | 98 Main St Ste 202, Southington, CT 06489-2500 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Samantha E Deyong | 130 Kane St., West Hartford, CT 06119 | Physical Therapist | 2002-09-18 ~ 2003-08-31 |
| Samantha Ez Bellavance | 153 Trombley Hl, Hyde Park, VT 05655-9203 | Physical Therapist | 2014-06-01 ~ 2015-05-31 |
| Samantha S Ramsden | 507 Churchill Court, Fayetteville, NY 13066 | Physical Therapist | 2007-04-12 ~ 2008-01-31 |
| Samantha M Jordan | 777 Laura Dr, Marion, OH 43302 | Physical Therapist Assistant | 2020-05-01 ~ 2021-04-30 |
| Samantha A Fallon | 218 Bayview Ave, East Greenwich, RI 02818-4068 | Physical Therapist | 2012-05-01 ~ 2013-04-30 |
Please comment or provide details below to improve the information on SAMANTHA L TOLLEY.
| 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).