AMY G PROVENCAL (Credential# 786341) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
AMY G PROVENCAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000199. The credential type is physical therapist assistant. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 139 Charter Oak Avenue, East Haven, CT 06512. The current status is active.
| Licensee Name | AMY G PROVENCAL |
| Credential ID | 786341 |
| Credential Number | 63.000199 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
139 Charter Oak Avenue East Haven CT 06512 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1996-01-04 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-10-01 |
| Street Address | 139 Charter Oak Avenue |
| City | East Haven |
| State | CT |
| Zip Code | 06512 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| East Haven Police Union Local #1662 | Po Box 120033, East Haven, CT 06512 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Danielle M Verderame | 66 Maple Street, East Haven, CT 06512 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Judith M Lyon · Sousa | 440 Townsend Ave, New Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Toni Louise Montuori | 44 Francis St, East Haven, CT 06512 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Marcos E Zambrano | 17 Morse Place, New Haven, CT 06512 | Real Estate Salesperson | ~ |
| Nha H Lam | 274 Chidsey Ave, East Haven, CT 06512 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Niraliben N Patel | 44 Columbus Ave, East Haven, CT 06512 | Esthetician | ~ |
| Alyssa C Zordan | 65 Francis Street, East Haven, CT 06512 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Gomes Cleaning & Painting LLC | 296 Burr St, New Haven, CT 06512 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Keith Bouve · Residential Restorations | 99 Prospect Rd, East Haven, CT 06512 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Find all Licenses in zip 06512 | |||
| City | East Haven |
| Zip Code | 06512 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + East Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arthur Provencal · Provencal Contracting & Concrete | 307 Barber Rd, Woodstock, CT 06281-2723 | Home Improvement Contractor | 2020-05-05 ~ 2020-11-30 |
| Provencal, Roland, C. Const. Co., Inc. | Barber Road, Rfd#1, Woodstock, CT 06281 | Demolition Contractor | 1991-04-01 ~ 1992-03-31 |
| One A Any | 123, Avon, CT 06001 | Physical Therapist Assistant | 2001-01-31 ~ 2002-01-01 |
| Dollyann Echevarria | Carolina, PR 00983 | Physical Therapist Assistant | ~ |
| Antony Pinto | Bronx, NY 10461 | Physical Therapist Assistant | ~ |
| Angelo N Morales | 494 Elm St., Stamford, CT 06902 | Physical Therapist Assistant | ~ 2006-11-01 |
| Joanne M Eichner | 145 Rt 66, Columbia, CT 06237 | Physical Therapist Assistant | 2020-04-01 ~ 2021-03-31 |
| Lauren F Ludwin | 15 Gardner Rd, Chicopee, MA 01013-3207 | Physical Therapist Assistant | ~ |
| Danielle A Grondine | P.o. Box 378, Manchaug, MA 01526 | Physical Therapist Assistant | 2004-03-04 ~ 2006-11-01 |
| Angela Rivera | 39 Campfield Ave, Hartford, CT 06114-1835 | Physical Therapist Assistant | ~ |
Please comment or provide details below to improve the information on AMY G PROVENCAL.
| 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).