TRACY M GUSTAFSON (Credential# 692657) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
TRACY M GUSTAFSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.007082. The credential type is physical therapist. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 24 Orion View Dr, West Greenwich, RI 02817-2408. The current status is active.
| Licensee Name | TRACY M GUSTAFSON |
| Credential ID | 692657 |
| Credential Number | 14.007082 |
| Credential Type | Physical Therapist |
| Business Address |
24 Orion View Dr West Greenwich RI 02817-2408 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-03-20 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2020-01-02 |
| Street Address | 24 ORION VIEW DR |
| City | WEST GREENWICH |
| State | RI |
| Zip Code | 02817-2408 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Allison L Abbott | 839 Hopkins Hill Rd., West Greenwich, RI 02817 | Registered Nurse | 2020-06-22 ~ 2014-04-30 |
| Elizabeth C Salisbury | 41 Dondal Potter, West Greenwich, RI 02817 | Pharmacy Intern | 2020-05-01 ~ 2021-05-31 |
| Michael A Sansone | 74 Robin Hollow Rd, West Greenwich, RI 02817 | Registered Nurse | 2020-03-31 ~ 2020-09-30 |
| Kim S Svehlik | 67 Fry Pond Rd, West Greenwich, RI 02817 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Joanne H La Voie | 252 Victory Hwy, West Greenwich, RI 02817 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Miranda Ann Miner | 56 Roland Drive, West Greenwich, RI 02817 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Janice J Labbe | 15 Greenwich West, West Greenwich, RI 02817 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Brian K Manchester | 305 Sharpe Street, West Greenwich, RI 02817 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Paula M Merritt | 20 Glen Farm Court, Warwick, RI 02817 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| John F Smith | 1072 Fish Hill Road, West Greenwich, RI 02817 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Find all Licenses in zip 02817 | |||
| City | WEST GREENWICH |
| Zip Code | 02817 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + WEST GREENWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan L Gustafson | 412 Aspen Glen Drive, Hamden, CT 06518 | Physical Therapist | 1999-04-12 ~ 2000-03-31 |
| Tanya W Tracy | 97 Longview Rd, Asheville, NC 28806-4418 | Physical Therapist | 2018-04-01 ~ 2019-03-31 |
| Kathleen F Carlson | 88 Tracy St, Thomaston, CT 06787 | Physical Therapist | 2011-05-01 ~ 2012-04-30 |
| Tracy N Petrini | 44 Ceil Rd, Trumbull, CT 06611-3419 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Tracy R Cerasuolo | 30 Erica Cir, Hampden, MA 01036-9652 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
| Tracy E Wall | 407 Madison Rd # R, Durham, CT 06422-3217 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
| Mary Dona | 73 Tracy Rd, Dudley, MA 01571 | Physical Therapist | 2017-06-01 ~ 2018-05-31 |
| Tracy Bartholomew | 33 Pinecrest Rd, Willington, CT 06279-2216 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
| Peggy I Bologna | 227 Tracy Dr, Vernon, CT 06066 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Tracy S Liu | 53 Pasture Lane, Poughkeepsie, NY 12603 | Physical Therapist | 2003-08-27 ~ 2004-08-31 |
Please comment or provide details below to improve the information on TRACY M GUSTAFSON.
| 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).