BRANDON TYLER SMITH (Credential# 1997546) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 17, 2020. The license expiration date date is August 31, 2020. The license status is ACTIVE.
BRANDON TYLER SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.002095. The credential type is physical therapist assistant. The effective date is June 17, 2020. The expiration date is August 31, 2020. The business address is 24 Wallace Row # 1b, Wallingford, CT 06492-3137. The current status is active.
| Licensee Name | BRANDON TYLER SMITH |
| Credential ID | 1997546 |
| Credential Number | 63.002095 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
24 Wallace Row # 1b Wallingford CT 06492-3137 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-17 |
| Effective Date | 2020-06-17 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2020-06-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1997782 | 63.002070-TEMP | PTA Temporary Permit | 2020-01-15 | 2020-01-15 - 2020-06-17 | INACTIVE |
| Street Address | 24 WALLACE ROW # 1B |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-3137 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas A Fasano · Nick The Handyman | 26 Wallace Row Apt 1, Wallingford, CT 06492-3137 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Sandra I Ramirez | 8 Wallace Row Fl 2, Wallingford, CT 06492-3137 | Licensed Practical Nurse | 2019-05-01 ~ 2020-04-30 |
| Victoria A Mikulski | 84 Wallace Row, Wallingford, CT 06492-3137 | Hairdresser/cosmetician | 2019-03-05 ~ 2020-08-31 |
| William P Conte | 30 Wallace Row, Wallingford, CT 06492-3137 | Electrical Unlimited Journeyperson | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tyler David Jones | 5307 Brandon Dr, Rocklin, CA 95765-5414 | Physical Therapist | 2019-12-31 ~ 2020-11-30 |
| Mariangela Viviano | 121 Brandon Ave., Springfield, MA 01119 | Physical Therapist Assistant | 2001-07-17 ~ 2006-11-01 |
| Brandon C Futrell | 175 West Ave # 6, Stamford, CT 06902-5511 | Physical Therapist Assistant | 2019-12-01 ~ 2020-11-30 |
| Brandon L Mcginess | 323 S Houghton St, Lake City, MI 49651-8562 | Physical Therapist Assistant | 2017-03-07 ~ 2018-02-28 |
| Debra A Margison | 261 Tyler Way, Bristol, CT 06010-9468 | Physical Therapist Assistant | 2020-04-01 ~ 2021-03-31 |
| Megan L Thibodeau | 261 Tyler Way, Bristol, CT 06010-9468 | Physical Therapist Assistant | 2019-08-01 ~ 2020-07-31 |
| Garik Smith | 60 Fleetwood Drive, Saunderstown, RI 02874 | Physical Therapist Assistant | ~ |
| Julie E Smith | 900 Chelmsford St., Lowell, MA 01851 | Physical Therapist Assistant | 2001-02-20 ~ 2006-11-01 |
| Jocelyn A Smith | 34 Oak Hollow Rd, Springfield, MA 01128-1335 | Physical Therapist Assistant | 2020-04-01 ~ 2021-03-31 |
| Lynne A Smith | 7 Possum Dr, New Fairfield, CT 06812-5009 | Physical Therapist Assistant | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on BRANDON TYLER SMITH.
| 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).