MIGUEL ANGEL SANTIAGO (Credential# 1667890) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MIGUEL ANGEL SANTIAGO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.012303. The credential type is physical therapist. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 78 Pine Grove Dr., South Hadley, MA 01075. The current status is active.
| Licensee Name | MIGUEL ANGEL SANTIAGO |
| Credential ID | 1667890 |
| Credential Number | 14.012303 |
| Credential Type | Physical Therapist |
| Business Address |
78 Pine Grove Dr. South Hadley MA 01075 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-31 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-05 |
| Street Address | 78 Pine Grove Dr. |
| City | South Hadley |
| State | MA |
| Zip Code | 01075 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason T Shattuck | 45 Hadley Village Rd, South Hadley, MA 01075 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Julie-ellen Frost | 20 Willimansett St, South Hadley, MA 01075 | Registered Nurse | ~ |
| Jeffrey D Squire | 25 Parkview Dr, South Hadley, MA 01075 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Erin Claire Zwisler | 46 Saint Kolbe Dr., Holyoke, MA 01075 | Behavior Analyst | ~ |
| Tanya L Lieser | 14 Mountainview Street, South Hadley, MA 01075 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Pamela M Proulx | 22 Wilson Street, South Hadley, MA 01075 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Rebecca F Quenneville | 121 The Meadows, South Hadley, MA 01075 | Registered Nurse | ~ 2018-02-28 |
| Raymond L Brousseau | 43 West Summit Street 10, South Hadley, MA 01075 | Notary Public Appointment | 2014-12-03 ~ 2019-12-31 |
| Carla D Gaouette | 103 Bardwell Street, South Hadley, MA 01075 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| James E Dougherty | 23 Bunker Hill Street, South Hadley, MA 01075 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 01075 | |||
| City | South Hadley |
| Zip Code | 01075 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + South Hadley |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Darwin R Miguel | Dasmarinas, PH 4114 | Physical Therapist | ~ |
| Darwin Rances Miguel | Dasmarinas, PH 4114 | Physical Therapist | ~ |
| Jennifer M Santiago | 59 Argonne St, Fairfield, CT 06825-1301 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Timothy Dooney | 20 San Miguel St., Springfield, MA 01104 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
| Angel K Kendrick | 363 Ridgewood Dr, Mystic, CT 06355-2032 | Physical Therapist Assistant | 2020-07-01 ~ 2021-06-30 |
| Eric D Santiago | 8133 Town Walk Drive, Hamden, CT 06514 | Physical Therapist | 2009-05-12 ~ 2010-04-30 |
| Angel Louis Quinones | 62 Fini Drive, Carmel, NY 10512 | Physical Therapist Assistant | ~ |
| James Palmer | 27 Angel Place, North Haven, CT 06473 | Physical Therapist Assistant | ~ |
| Rienzi Gabriel Tolimao Encarnacion | Block 4 Lot 9 Angel P. Villasor Avenue, Bacolod City, PH 6100 | Physical Therapist | ~ |
| Miguel Santiago | 118 Hall Ave, Meriden, CT 06450 | Medication Administration Certification | ~ |
Please comment or provide details below to improve the information on MIGUEL ANGEL SANTIAGO.
| 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).