ERIC LEE WILLEY (Credential# 2010993) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 3, 2020. The license expiration date date is April 30, 2020. The license status is ACTIVE.
ERIC LEE WILLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.002080. The credential type is physical therapist assistant. The effective date is March 3, 2020. The expiration date is April 30, 2020. The business address is 169 Silas Ridge Ln, Ararat, NC 27007-8466. The current status is active.
| Licensee Name | ERIC LEE WILLEY |
| Credential ID | 2010993 |
| Credential Number | 63.002080 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
169 Silas Ridge Ln Ararat NC 27007-8466 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-03-03 |
| Effective Date | 2020-03-03 |
| Expiration Date | 2020-04-30 |
| Refresh Date | 2020-03-03 |
| Street Address | 169 SILAS RIDGE LN |
| City | ARARAT |
| State | NC |
| Zip Code | 27007-8466 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Delberta C Murphy | 2115 Ararat Road, Ararat, NC 27007 | Registered Nurse | 2007-02-05 ~ 2007-11-30 |
| City | ARARAT |
| Zip Code | 27007 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + ARARAT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric Wade | 720 Mix Ave Unit 315, Hamden, CT 06514-2295 | Physical Therapist Assistant | 2020-05-01 ~ 2021-04-30 |
| Eric J Kelly | 146 Tedford Dr, Longmeadow, MA 01106-3330 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
| Eric M Mola | 120 Ralph Rd, Manchester, CT 06040-6325 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| Larisa Tsidulko | 91 Eric Dr, Palm Coast, FL 32164-6299 | Physical Therapist Assistant | ~ |
| Eric J Irizarry | 19 Wallace Ave., Mount Vernon, NY 10552 | Physical Therapist Assistant | 2004-07-13 ~ 2006-11-01 |
| Eric C Dyson | 6 Wintergreen Dr, Quaker Hill, CT 06375-1436 | Physical Therapist Assistant | 2020-07-01 ~ 2021-06-30 |
| Eric A Perez | 41 Knollwood Drive, Wolcott, CT 06716 | Physical Therapist Assistant | 2019-11-01 ~ 2020-10-31 |
| Eric T Lunt | 134 Rising Trail Dr, Middletown, CT 06457-1629 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| Eric J Terzini | 11 Hill Farm Way, Barkhamsted, CT 06063-3327 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
| Eric Christopher Johnston | 41 Nanni Dr, Winsted, CT 06098-2106 | Physical Therapist Assistant | 2019-11-01 ~ 2020-10-31 |
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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).