MELISSA MARIE SOUZA (Credential# 1514708) is licensed (Physical Therapist) 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.
MELISSA MARIE SOUZA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011960. The credential type is physical therapist. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 200 Paine Rd, Pomfret Center, CT 06259. The current status is active.
Licensee Name | MELISSA MARIE SOUZA |
Credential ID | 1514708 |
Credential Number | 14.011960 |
Credential Type | Physical Therapist |
Business Address |
200 Paine Rd Pomfret Center CT 06259 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-08-06 |
Effective Date | 2019-11-01 |
Expiration Date | 2020-10-31 |
Refresh Date | 2019-12-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1522882 | 14.011856-TEMP | PT Temporary Permit | 2018-06-11 | 2018-06-11 - 2018-08-06 | INACTIVE |
Street Address | 200 Paine Rd |
City | Pomfret Center |
State | CT |
Zip Code | 06259 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gregory Pike | 200 Paine Rd, Pomfret Center, CT 06259-1925 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Beth A. Poland | 123 Ragged Hill Road, Pomfret Center, CT 06259 | Radiographer | 2020-08-01 ~ 2021-07-31 |
Saara A Slevinsky · Kahonen | 244 Paine Road, Pomfret Center, CT 06259 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
Sandra Fredrickson | 135 Cooney Road, Pomfret Center, CT 06259 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Lillian R Erskine | 443 Hampton Road, Abington, CT 06259 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Gary J Pazienza | 120 Cooney Road, Pomfret Center, CT 06259 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Jennifer L Jasmin | 524 Mashamoquet Rd, Pomfret Center, CT 06259 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Irina P Ionkina | 185 Babbitt Hill Road, Pomfret Center, CT 06259 | Master's Level Social Worker | 2019-01-01 ~ 2019-12-31 |
Donna J Navarro | 88 Freedley Rd, Pomfret Center, CT 06259 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Jennifer W Mahr | 89 Covell Road, Pomfret Center, CT 06259 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Philip Raiford | 172 Peterson Rd, Pomfret Center, CT 06259 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06259 |
City | Pomfret Center |
Zip Code | 06259 |
License Type | Physical Therapist |
License Type + County | Physical Therapist + Pomfret Center |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rebecca A Souza | 21 Maiden Lane, West Hartford, CT 06117 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
Richard W Souza · Souza Masonry | 61 Nollet Rd, Mansfield Center, CT 06250 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
Daniel H Souza · Souza's Painting | 312 Crystal Ave, New London, CT 06320 | Home Improvement Contractor | 2001-12-11 ~ 2002-11-30 |
Melissa C Lee | 411 Village St, Bristol, CT 06010-8067 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
Melissa A Souza | 14 Pinecrest Drive, Prospect, CT 06712 | Pharmacy Technician | 2014-04-01 ~ 2015-03-31 |
Melissa Z Reed | 9 Laurel Dr, Brookfield, CT 06804-1515 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
Melissa B Wolf | 6 Moss Ave, Seymour, CT 06483-3509 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
Melissa S Boutagy | 113 Hillcrest Ave, Hamden, CT 06514-3503 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
Melissa H. Evans | 5 Daphne Dr, Norwalk, CT 06851-3101 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
Melissa J Estrella | 62 Sisk St., Middletown, CT 06457 | Physical Therapist | 2018-06-01 ~ 2019-05-31 |
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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).