STACEY L WANAT
Physical Therapist


Address: 10 Hunters Path, Clinton, CT 06413

STACEY L WANAT (Credential# 693111) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is June 28, 2004. The license expiration date date is September 30, 2004. The license status is INACTIVE.

Business Overview

STACEY L WANAT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.007536. The credential type is physical therapist. The effective date is June 28, 2004. The expiration date is September 30, 2004. The business address is 10 Hunters Path, Clinton, CT 06413. The current status is inactive.

Basic Information

Licensee Name STACEY L WANAT
Credential ID 693111
Credential Number 14.007536
Credential Type Physical Therapist
Business Address 10 Hunters Path
Clinton
CT 06413
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-06-28
Effective Date 2004-06-28
Expiration Date 2004-09-30
Refresh Date 2009-07-08

Office Location

Street Address 10 Hunters Path
City Clinton
State CT
Zip Code 06413

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Amanda Michelle Saren 7 Grant Place, Clinton, CT 06413 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-20 ~ 2021-12-31
Rebecca C Kadel 118 Long Hill Road, Clinton, CT 06413 Registered Nurse 2020-08-01 ~ 2021-07-31
Tamara A Potselueva 10 Hemlock Hill Road, Clinton, CT 06413 Registered Nurse 2020-04-01 ~ 2021-03-31
Lindt Chocolate Shop #397 · Lindt & Sprungli (usa) Inc 20-a Killingworth Tpke Space 230, Clinton, CT 06413 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Dana D Striby 26 Park Drive, Clinton, CT 06413 Notary Public Appointment 2020-09-01 ~ 2025-08-31
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Competitor

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City Clinton
Zip Code 06413
License Type Physical Therapist
License Type + County Physical Therapist + Clinton

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Stacey D Fransen 170 Mansfield St, New Haven, CT 06511 Physical Therapist 2006-01-25 ~ 2007-03-31
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Stacey R Leeds 157 Groton Pl, West Hempstead, NY 11552-1607 Physical Therapist 2017-01-01 ~ 2017-12-31
Stacey B Stark 190 Great Neck Rd # A, Waterford, CT 06385-3701 Physical Therapist 2019-09-01 ~ 2020-08-31
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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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