PETER G BOUDO JR (Credential# 691547) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
PETER G BOUDO JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005971. The credential type is physical therapist. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 4 Eager Ln, Cromwell, CT 06416-2172. The current status is active.
| Licensee Name | PETER G BOUDO JR |
| Credential ID | 691547 |
| Credential Number | 14.005971 |
| Credential Type | Physical Therapist |
| Business Address |
4 Eager Ln Cromwell CT 06416-2172 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-12-12 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 820330 | 69.002907 | Emergency Medical Responder | 2002-08-06 | 2005-03-15 - 2006-06-30 | INACTIVE |
| Street Address | 4 EAGER LN |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-2172 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marcia B Henehan | 17 Crest Drive, Cromwell, CT 06416 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Sarah C Smith | 6 Court Street, Cromwell, CT 06416 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Joyce Tayeh | 5 Sunridge Lane, Cromwell, CT 06416 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Todd J Farris | 53 Lincoln Road, Cromwell, CT 06416 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Tiffany N Winkler | 50 Fawn Run, Cromwell, CT 06416 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hasim J Shah | 131 Coles Rd, Cromwell, CT 06416 | Pharmacy Technician | 2020-06-23 ~ 2021-03-31 |
| Michelle R Berube | 17 Arrowwood Dr, Cromwell, CT 06416 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Joy Mekrut-suzio | 352 Main Street, Cromwell, CT 06416 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Gina M Branciforte | 24 Bellaire Manor, Cromwell, CT 06416 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kimberly A Benson | 10 Springdale Road, Cromwell, CT 06416 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06416 | |||
| City | CROMWELL |
| Zip Code | 06416 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + CROMWELL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| C J Peter | 15 Lancaster Ct, Cresskill, NJ 07626 | Physical Therapist | 2012-04-01 ~ 2013-03-31 |
| Peter R Szymanski | 90 Knollwood Rd, Farmington, CT 06013-2305 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
| Peter Coppola | 3024 Ne 67th Ave, Portland, OR 97213-5204 | Physical Therapist | ~ |
| Peter Gallelli | 70 Howard Ave, New Haven, CT 06519 | Physical Therapist | 1998-03-11 ~ 1999-03-31 |
| Peter T Tadros | 435 E 70th St Apt 16k, New York, NY 10021-0516 | Physical Therapist | 2019-01-11 ~ 2019-09-30 |
| Peter A Philip | 160 North St, Easton, CT 06612-1040 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Peter J Geloso | 19 Amadeo Dr, Bethany, CT 06524-3186 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Peter A Swota | 207 George St Apt 302, Middletown, CT 06457-3595 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Peter Battipaglia | 337 N Montgomery St, Newburgh, NY 12550 | Physical Therapist | 2000-02-24 ~ 2001-02-28 |
| Peter E Grevelding | 900 Mountain Rd, Cheshire, CT 06410-3307 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
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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).