BONNIE KISSAM
Massage Therapist


Address: 59 Tremont Street, Hartford, CT 06105

BONNIE KISSAM (Credential# 757055) is licensed (Massage Therapist) with Connecticut Department of Consumer Protection. The license effective date is March 15, 2002. The license expiration date date is March 31, 2003. The license status is INACTIVE.

Business Overview

BONNIE KISSAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #29.000647. The credential type is massage therapist. The effective date is March 15, 2002. The expiration date is March 31, 2003. The business address is 59 Tremont Street, Hartford, CT 06105. The current status is inactive.

Basic Information

Licensee Name BONNIE KISSAM
Credential ID 757055
Credential Number 29.000647
Credential Type Massage Therapist
Business Address 59 Tremont Street
Hartford
CT 06105
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-02-01
Effective Date 2002-03-15
Expiration Date 2003-03-31
Refresh Date 2009-07-08

Office Location

Street Address 59 TREMONT STREET
City HARTFORD
State CT
Zip Code 06105

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Ashley Ameena Bachan 25 Owen Street, Hartford, CT 06105 Licensed Practical Nurse 2020-06-01 ~ 2021-05-31
Dhruti Anilkant Mankodi Hospitalist Department, Hartford, CT 06105 Physician/surgeon 2020-08-01 ~ 2021-07-31
Jacqueline Alexandra Raymond 24 Owen Street, Hartford, CT 06105 Esthetician 2020-06-22 ~ 2021-10-31
Hortense Bates 48-50 Atwood Street, Hartford, CT 06105 Medication Administration Certification 2020-08-20 ~ 2022-08-19
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Competitor

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City HARTFORD
Zip Code 06105
License Type Massage Therapist
License Type + County Massage Therapist + HARTFORD

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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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