KRISTA J RUSSELL (Credential# 691174) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
KRISTA J RUSSELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005597. The credential type is physical therapist. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 178 New State Rd Apt 17, Manchester, CT 06042-7942. The current status is active.
| Licensee Name | KRISTA J RUSSELL |
| Credential ID | 691174 |
| Credential Number | 14.005597 |
| Credential Type | Physical Therapist |
| Business Address |
178 New State Rd Apt 17 Manchester CT 06042-7942 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1996-08-16 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2020-01-02 |
| Street Address | 178 NEW STATE RD APT 17 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-7942 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mikhail A Uddin | 178 New State Rd Apt 18, Manchester, CT 06042-7942 | Emergency Medical Technician | 2017-03-09 ~ 2020-07-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Krista F Jernigan | Po Box 926, Greenville, CA 95947 | Physical Therapist | 1981-01-01 ~ 1994-02-28 |
| Krista A Catalan | 150 Pine St Apt 331, Manchester, CT 06040-5057 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Krista M Juhlin | 159 Main St Apt 32b, Medford, MA 02155-4523 | Physical Therapist | 2014-05-01 ~ 2015-04-30 |
| Krista M Smolen | 12 Damato Dr, Oakdale, CT 06370-1692 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Krista L Park | 53 Bunny Rd, Preston, CT 06365-8705 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Krista R Conti | 3 Cheryl Ln, Prospect, CT 06712-1304 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Krista S Bondshu | Pob 808, Mariposa, CA 95338 | Physical Therapist Assistant | ~ 2006-11-01 |
| Krista H Munsell | 1616 Williams St., Dighton, MA 02715 | Physical Therapist Assistant | ~ 2006-11-01 |
| Krista F Nolan | 562 Orange Center Rd, Orange, CT 06477-2912 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Bradley Russell | 127 Five Fields Rd, Madison, CT 06443-2532 | Physical Therapist | ~ |
Please comment or provide details below to improve the information on KRISTA J RUSSELL.
| 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).