JACQUELINE M BOOTH (Credential# 692527) 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.
JACQUELINE M BOOTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.006952. The credential type is physical therapist. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 182 Eagle Drive, Newington, CT 06111. The current status is active.
| Licensee Name | JACQUELINE M BOOTH |
| Credential ID | 692527 |
| Credential Number | 14.006952 |
| Credential Type | Physical Therapist |
| Business Address |
182 Eagle Drive Newington CT 06111 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-08-15 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2019-12-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 777850 | 54.000051 | Athletic Trainer | 2006-08-29 | 2010-01-01 - 2010-12-31 | INACTIVE |
| Street Address | 182 EAGLE DRIVE |
| City | Newington |
| State | CT |
| Zip Code | 06111 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Schless | 182 Eagle Drive, Newington, CT 06111 | Notary Public Appointment | 2002-12-01 ~ 2007-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | Newington |
| Zip Code | 06111 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + Newington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie T Booth | 11 Plymouth Rd., West Hartford, CT 06119 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Joan H Booth | 12 Yeoman Lane, Salem, SC 29676-4426 | Physical Therapist | 2002-08-19 ~ 2003-10-31 |
| Melissa S Booth | 944 New Haven Road, Durham, CT 06422 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Nancy P Entwistle | 621 Booth Hill Rd, Trumbull, CT 06611 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Kristy R Booth | 2355 Grant Avenue, Cuyahoga Falls, OH 44223 | Physical Therapist | 2004-07-02 ~ 2005-04-30 |
| Rae Anne R Keathley | 3824 Booth Calloway Rd Apt 1601, Richland Hills, TX 76118-5386 | Physical Therapist | 2017-05-26 ~ 2017-12-31 |
| Jacqueline A Milone | 23 New St, West Haven, CT 06516-5035 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Jacqueline Morgan Wolff | 116 Timber Trl, Tolland, CT 06084-3253 | Physical Therapist | ~ |
| Jacqueline J Sias | 30 Thomas Ave, S. Attleboro, MA 02703 | Physical Therapist | 2001-02-28 ~ 2002-04-30 |
| Jacqueline N Birdsall | 91 Rivercliff Dr, Milford, CT 06460-4908 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on JACQUELINE M BOOTH.
| 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).