SUE A LONG
Physical Therapist Assistant


Address: P.o. Box 543, West Stockbridge, MA 01266

SUE A LONG (Credential# 786956) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2016. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

SUE A LONG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000815. The credential type is physical therapist assistant. The effective date is March 1, 2016. The expiration date is February 28, 2017. The business address is P.o. Box 543, West Stockbridge, MA 01266. The current status is inactive.

Basic Information

Licensee Name SUE A LONG
Credential ID 786956
Credential Number 63.000815
Credential Type Physical Therapist Assistant
Business Address P.o. Box 543
West Stockbridge
MA 01266
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-10-20
Effective Date 2016-03-01
Expiration Date 2017-02-28
Refresh Date 2017-06-03

Other licenses

ID Credential Code Credential Type Issue Term Status
936606 29 Massage Therapist - EXPIRED APPLICATION

Office Location

Street Address P.O. Box 543
City West Stockbridge
State MA
Zip Code 01266

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Jeffrey Michael Rossman 247 East Road, West Stockbridge, MA 01266 Psychologist ~
Casey Lyn Wilton 22 Moscow Road, West Stockbridge, MA 01266 Master's Level Social Worker 2020-02-01 ~ 2021-01-31
Michael Peter Troiano 317 Great Barrington Rd, West Stockbridge, MA 01266 Registered Nurse 2018-12-17 ~ 2019-09-30
Karen A Kowgios 83 Maple Hill Road, West Stockbridge, MA 01266 Certified Public Accountant License 2020-01-01 ~ 2020-12-31
Jack A Miller 384 West Rd, Alford, MA 01266 Physician/surgeon 2020-03-01 ~ 2021-02-28
Frank R Love Jr 12 Cross Road, West Stockbridge, MA 01266 Repairer of Weighing & Measuring Devices 2020-01-01 ~ 2020-12-31
Sheena M Gennari 6 Baker Street, West Stockbridge, MA 01266 Licensed Practical Nurse 2019-08-01 ~ 2020-07-31
Berkshire Ice Cream 4 Albany Rd, West Stockbridge, MA 01266 Frozen Dessert Wholesaler 2000-01-19 ~ 2000-12-31
Charles R Thunfors 2 Stockbridge Rd, W Stockbridge, MA 01266 Real Estate Broker 2000-06-01 ~ 2001-03-31
Steven F Haas 225 East Rd, Alford, MA 01266 Architect 2009-08-01 ~ 2010-07-31
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Competitor

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City West Stockbridge
Zip Code 01266
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + West Stockbridge

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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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