PATRICIA A BLACK (Credential# 689903) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is APPROVED.
PATRICIA A BLACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.004305. The credential type is physical therapist. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 7 Stone Street, Branford, CT 06405. The current status is approved.
| Licensee Name | PATRICIA A BLACK |
| Doing Business As | VALLEY |
| Credential ID | 689903 |
| Credential Number | 14.004305 |
| Credential Type | Physical Therapist |
| Business Address |
7 Stone Street Branford CT 06405 |
| Business Type | INDIVIDUAL |
| Status | APPROVED - CURRENT |
| Active | 1 |
| Issue Date | 1990-08-02 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 859049 | 70.900187 | Emergency Medical Technician | 1990-01-18 | - 1994-04-01 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia A Black | 3 Harvest Road, Enfield, CT 06082 | Notary Public Appointment | 1990-02-01 ~ 1995-03-31 |
| Street Address | 7 STONE STREET |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bianca E Cantwell | 231 Black Hill Rd, Plainfield, CT 06374-1449 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Sandra L Robitaille | 18 Black Oak Dr, East Lyme, CT 06333 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Richard A Black | 2409 Drummond Rd., Toledo, OH 43606 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
| Dorian R Nissenson | 7 Black Birch Rd, Westport, CT 06880-2603 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Brenda S Black · Barr | 154 East Ave, Burlington, VT 05401 | Physical Therapist | 1986-12-04 ~ 1990-08-31 |
| Martha W Logiurato | 2 Black Swan Ct, Brookfield, CT 06804-3977 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
| Pam A Warshaw | 280 Black Rock Tpke, Redding, CT 06896-2120 | Physical Therapist | 2013-02-01 ~ 2014-01-31 |
| Anne L Tsiongas · Bouchard | 71 Black Walnut Ln, Burlington, CT 06013-2222 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Jeanne A Halloran | 216 Black Rock Tpke, Redding, CT 06896-2518 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Ann Jeannette Purdy | 25 Black Snake Lane, Bridgewater, CT 06752 | Physical Therapist | 2004-12-30 ~ 2006-02-28 |
Please comment or provide details below to improve the information on PATRICIA A BLACK.
| 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).