SUSAN M STARK (Credential# 786676) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2020. The license status is ACTIVE.
SUSAN M STARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000535. The credential type is physical therapist assistant. The effective date is July 1, 2019. The expiration date is June 30, 2020. The business address is 68 Plantation Dr., Agawam, MA 01001. The current status is active.
| Licensee Name | SUSAN M STARK |
| Credential ID | 786676 |
| Credential Number | 63.000535 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
68 Plantation Dr. Agawam MA 01001 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-02-03 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2019-07-01 |
| Street Address | 68 Plantation Dr. |
| City | Agawam |
| State | MA |
| Zip Code | 01001 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pamela J Freeman Brown | 1324 Main Street, Agawam, MA 01001 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ashley Erin Dimauro | 25 Deer Run Road, Agawam, MA 01001 | Registered Nurse | ~ |
| Lou A Fitch | 60 Mallard Circle, Agawam, MA 01001 | Notary Public Appointment | 2015-04-01 ~ 2020-03-31 |
| Maryanne Catanzaro · Catanzaro,leone | 16 Channell Drive, Agawam, MA 01001 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sunhee Hwang | 54 River Rd, Agawam, MA 01001 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-17 ~ 2021-10-31 |
| Taehoon An | 58 River Rd, Agawam, MA 01001 | Nail Technician | 2020-06-17 ~ 2022-05-31 |
| Ji Hye Safarik | 119 Albert St, Agawam, MA 01001 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-16 ~ 2022-02-28 |
| Consuelo Ana Leblanc | 39 Hunting Lane, Agawam, MA 01001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sangkeun Yi | 322 Meadow St, Agwam, MA 01001 | Nail Technician | 2020-06-12 ~ 2022-06-30 |
| Kyunghee Koh | 56 River Road, Agawam, MA 01001 | Nail Technician | 2020-06-12 ~ 2021-08-31 |
| Find all Licenses in zip 01001 | |||
| City | Agawam |
| Zip Code | 01001 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + Agawam |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan P Radcliffe | Po Box 233, Plymouth, NH 03264 | Physical Therapist Assistant | 2005-08-16 ~ 2006-11-01 |
| Susan M Brien | 31 Parker Ter, Glastonbury, CT 06033-2014 | Physical Therapist Assistant | 2019-09-01 ~ 2020-08-31 |
| Susan C Carbine | 824 Knapps Hwy, Fairfield, CT 06825-4210 | Physical Therapist Assistant | 2019-12-01 ~ 2020-11-30 |
| Susan P Maack | P.o. Box 9252, Lyndhurst, NJ 07071 | Physical Therapist Assistant | 2004-11-29 ~ 2006-11-01 |
| Susan M Legge | 93 Richards Ave., #507, Norwalk, CT 06854 | Physical Therapist Assistant | 2009-09-01 ~ 2010-08-31 |
| Susan J Mcdowell | 208 Woodward St, Easton, MO 64443 | Physical Therapist Assistant | 2011-07-01 ~ 2012-06-30 |
| Susan M Mondor | 347 Glendale Rd., Wilbraham, MA 01095 | Physical Therapist Assistant | 2016-05-01 ~ 2017-04-30 |
| Susan Raschi | 42 Cherryvale Ave, Springfield, MA 01108 | Physical Therapist Assistant | 2000-12-13 ~ 2006-11-01 |
| Susan Baietto | 18 Cambridge Drive, Greenwich, CT 06831 | Physical Therapist Assistant | 2019-04-01 ~ 2020-03-31 |
| Susan Devino-moriarty | 202 Circuit Ave, Waterbury, CT 06708-2162 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on SUSAN M 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).