STACEY M HEAD
Physical Therapist


Address: 103 Blue Grass Court, Rocky Hill, CT 06067

STACEY M HEAD (Credential# 692735) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2015. The license expiration date date is April 30, 2016. The license status is INACTIVE.

Business Overview

STACEY M HEAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.007160. The credential type is physical therapist. The effective date is May 1, 2015. The expiration date is April 30, 2016. The business address is 103 Blue Grass Court, Rocky Hill, CT 06067. The current status is inactive.

Basic Information

Licensee Name STACEY M HEAD
Credential ID 692735
Credential Number 14.007160
Credential Type Physical Therapist
Business Address 103 Blue Grass Court
Rocky Hill
CT 06067
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-07-31
Effective Date 2015-05-01
Expiration Date 2016-04-30
Refresh Date 2016-08-03

Office Location

Street Address 103 Blue Grass Court
City Rocky Hill
State CT
Zip Code 06067

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John J. Driscoll United Labor Agency 56 Town Line Road, Rocky Hill, CT 06067 Public Charity 2019-06-01 ~ 2020-05-31
Rose J Dibacco 21 Woodland Rd, Rocky Hill, CT 06067 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Emily Noreen Kilroy Wolf 305 Carlton Lane, Rocky Hill, CT 06067 Art Therapist ~
Veronica Andrea Pita 100 Cold Spring Rd, Rocky Hill, CT 06067 Registered Nurse 2020-07-01 ~ 2021-06-30
Kim Simeone 21 New Britain Ave, Rocky Hill, CT 06067 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-27 ~ 2022-01-31
Kaci Courtemanche 1105 Harbor View Drive, Rocky Hill, CT 06067 Master's Level Social Worker - Temporary Permit ~
Hailing Colon 35 Grimes Rd. Apt D104, Rocky Hill, CT 06067 Nail Technician ~
Diana C D'angelo 1-d Carillon Drive, Rocky Hill, CT 06067 Massage Therapist 2020-07-01 ~ 2022-06-30
Carmelo Ferla 54 Wright Rd, Rocky Hill, CT 06067 Architect 2020-08-01 ~ 2021-07-31
Jessica Condon 7 Robbins Lane, Rocky Hill, CT 06067 Registered Nurse ~
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Competitor

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City Rocky Hill
Zip Code 06067
License Type Physical Therapist
License Type + County Physical Therapist + Rocky Hill

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Dataset Information

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).

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