KEITH B STARK (Credential# 693995) 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.
KEITH B STARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008420. The credential type is physical therapist. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 190a Great Neck Rd, Waterford, CT 06385-3701. The current status is active.
| Licensee Name | KEITH B STARK |
| Credential ID | 693995 |
| Credential Number | 14.008420 |
| Credential Type | Physical Therapist |
| Business Address |
190a Great Neck Rd Waterford CT 06385-3701 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-10-07 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2019-12-03 |
| Street Address | 190A GREAT NECK RD |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385-3701 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michelle L Mayo | 24 Yorkshire Dr., Waterford, CT 06385-3701 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Stacey B Stark | 190 Great Neck Rd # A, Waterford, CT 06385-3701 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Lisa M Santacroce | 204 Great Neck Rd, Waterford, CT 06385-3701 | Hairdresser/cosmetician | 2018-12-01 ~ 2020-11-30 |
| Mary A. Connor | 178 Great Neck Rd, Waterford, CT 06385-3701 | Embalmer Pre-graduate Trainee | 2016-03-02 ~ 2016-06-02 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard Christopher Rosas | 40 Ridgewood Ave, Waterford, CT 06385 | Chiropractor | 2020-07-01 ~ 2021-06-30 |
| Vincent F Donato | 26 Wild Rose Avenue, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Mark A Herter | 51 Quarry Rd, Waterford, CT 06385 | Architect | 2020-08-01 ~ 2021-07-31 |
| Pamela A Manke | 54 Rope Ferry Rd., Waterford, CT 06385 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Carol Winslow | 18 Myrock Ave, Waterford, CT 06385 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Donna M Rivero · Knupp | 3 Ridgewood Ave, Waterford, CT 06385 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Margaret A Goldschneider · Chapman | 3 High Ridge Drive, Waterford, CT 06385 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Frank R Dellacono Md | 201 Boston Post Road, Waterford, CT 06385 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mathew H Tellier | 25 Locust Ct., Waterford, CT 06385 | Backflow Prevention Device Tester | 2020-06-18 ~ 2023-03-31 |
| Renata Kamburi | 16 Marilyn Road, Waterford, CT 06385 | Esthetician | 2020-06-20 ~ 2021-12-31 |
| Find all Licenses in zip 06385 | |||
| City | WATERFORD |
| Zip Code | 06385 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + WATERFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jason J Miles | 129 Stark Avenue, Pen Yan, NY 14527 | Physical Therapist | ~ 1996-08-31 |
| Stacey B Stark | 190 Great Neck Rd # A, Waterford, CT 06385-3701 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Dayle M Stark | 131 Murielle Dr, South Windsor, CT 06074-4124 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
| Susan M Stark | 68 Plantation Dr., Agawam, MA 01001 | Physical Therapist Assistant | 2019-07-01 ~ 2020-06-30 |
| Barbara L Stark · Stark-bruneau | 103 Fenway Dr, Hamden, CT 06517 | Marital and Family Therapist | 2019-11-01 ~ 2020-10-31 |
| Keith J Claire | 82 Inwood Ave, Poughkeepsie, NJ 12601 | Physical Therapist | 2003-01-31 ~ 2004-02-29 |
| Keith Arcari | 270 Main St Ste B, Portland, CT 06480-1836 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Keith A Lyons | 430 Mansfield Rd, Ashford, CT 06278-1416 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
| Keith R Coy | 20 Hitching Post Ln, Stratford, CT 06614-2227 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Keith G Reidy | 30 Richardson Pl, Agawam, MA 01001 | Physical Therapist | 2018-05-01 ~ 2019-04-30 |
Please comment or provide details below to improve the information on KEITH B STARK.
| 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).