EMILY B FORMAN (Credential# 1458969) is licensed (Professional Counselor) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
EMILY B FORMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #46.003344. The credential type is professional counselor. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 4 Squirrel Hill Ln, West Hartford, CT 06107-1035. The current status is active.
| Licensee Name | EMILY B FORMAN |
| Credential ID | 1458969 |
| Credential Number | 46.003344 |
| Credential Type | Professional Counselor |
| Business Address |
4 Squirrel Hill Ln West Hartford CT 06107-1035 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-12-18 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-11-01 |
| Street Address | 4 SQUIRREL HILL LN |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-1035 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dennis M Mello Md | 6 Squirrel Hill Ln, West Hartford, CT 06107-1035 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Julie M Goslee Md | 3 Squirrel Hill Ln, West Hartford, CT 06107-1035 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Matthew T Goslee Dds | 3 Squirrel Hill Ln, West Hartford, CT 06107-1035 | Dentist | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | WEST HARTFORD |
| Zip Code | 06107 |
| License Type | Professional Counselor |
| License Type + County | Professional Counselor + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melisa M Forman | 4604 Old Oak Rd, Doylestown, PA 18902-8811 | Professional Counselor | 2015-02-01 ~ 2016-01-31 |
| Richard Forman · Forman Vineyard | 1501 Big Rock Rd, Saint Helena, CA 94574-9613 | Out of State Winery | 2015-04-01 ~ 2016-03-31 |
| Emily J Slager | 34 Elm St, Acton, MA 01720-2418 | Professional Counselor | 2020-04-01 ~ 2021-03-31 |
| Emily S Jones | 11 Tudor Ln, Naugatuck, CT 06770-5226 | Professional Counselor | ~ |
| Emily G Reynolds | 258 Hamburg Rd, Lyme, CT 06371-3420 | Professional Counselor | 2020-01-01 ~ 2020-12-31 |
| Emily Shovelin | 465 Ridge Rd, Middletown, CT 06457-5232 | Professional Counselor | 2019-10-01 ~ 2020-09-30 |
| Emily E Covill | 21 Pennsylvania Ave., Oakdale, CT 06370 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Emily Waller | 22 Birch Hill Rd, Brewster, NY 10509-3400 | Professional Counselor | ~ |
| Emily Laprade | 172 Harrisville Rd, Woodstock, CT 06281 | Professional Counselor | 2020-05-14 ~ 2020-12-31 |
| Emily C Sachs | 17 Morgan Pl, Unionville, CT 06085-1177 | Professional Counselor | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on EMILY B FORMAN.
| 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).