DEREK N BIRD (Credential# 1432314) 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.
DEREK N BIRD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011680. The credential type is physical therapist. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 512 Townsend Ave Unit Ll, New Haven, CT 06512-3639. The current status is active.
| Licensee Name | DEREK N BIRD |
| Credential ID | 1432314 |
| Credential Number | 14.011680 |
| Credential Type | Physical Therapist |
| Business Address |
512 Townsend Ave Unit Ll New Haven CT 06512-3639 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-11-02 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2019-12-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1432574 | 14.011476-TEMP | PT Temporary Permit | 2017-07-26 | 2017-07-26 - 2017-11-22 | INACTIVE |
| Street Address | 512 TOWNSEND AVE UNIT LL |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06512-3639 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emily Taylor | 512 Townsend Ave, New Haven, CT 06512-3639 | Emergency Medical Technician | 2018-10-01 ~ 2021-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| East Haven Police Union Local #1662 | Po Box 120033, East Haven, CT 06512 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Danielle M Verderame | 66 Maple Street, East Haven, CT 06512 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Judith M Lyon · Sousa | 440 Townsend Ave, New Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Toni Louise Montuori | 44 Francis St, East Haven, CT 06512 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marcos E Zambrano | 17 Morse Place, New Haven, CT 06512 | Real Estate Salesperson | ~ |
| Nha H Lam | 274 Chidsey Ave, East Haven, CT 06512 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Niraliben N Patel | 44 Columbus Ave, East Haven, CT 06512 | Esthetician | ~ |
| Alyssa C Zordan | 65 Francis Street, East Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Gomes Cleaning & Painting LLC | 296 Burr St, New Haven, CT 06512 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Keith Bouve · Residential Restorations | 99 Prospect Rd, East Haven, CT 06512 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Find all Licenses in zip 06512 | |||
| City | NEW HAVEN |
| Zip Code | 06512 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Denise Bird | 1938 Nw 50th Ave, Ocala, FL 34482-3204 | Physical Therapist | 2016-06-01 ~ 2017-05-31 |
| Denise E Bird | 7 Hanson Avenue, Salem, NH 03079 | Physical Therapist | ~ 1999-02-28 |
| Derek C Eastman | 6 Malvern Ave. #1, Richmond, VA 23221 | Physical Therapist | 2003-07-15 ~ 2004-03-31 |
| Derek M Foy | 1277 Old Waterbury Rd, Southbury, CT 06488-1922 | Physical Therapist | 2017-05-01 ~ 2018-04-30 |
| Derek A Wenzel | 5 Maryanna Way, Rocky Hill, CT 06067-2931 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Derek R Castonguay | 1256 Sabattus St., Lewiston, ME 04240 | Physical Therapist | 2004-07-20 ~ 2005-07-31 |
| Derek D Main | 210 Mimosa Circle, Ridgefield, CT 06877 | Physical Therapist | 2000-09-06 ~ 2001-04-30 |
| Derek Bird | 10 Rejean Road, Southington, CT 06489 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Bruce F Bird · Bird Enterprises | 1036 Spindle Hill Rd, Wolcott, CT 06716 | Home Improvement Contractor | 2011-12-01 ~ 2012-11-30 |
| Mr Bird | 1320 Industrial Dr, New Braunfels, TX 78130-3655 | Commercial Feed | 2017-01-09 ~ 2017-12-31 |
Please comment or provide details below to improve the information on DEREK N BIRD.
| 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).