TODD A PROVOST (Credential# 787117) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2016. The license expiration date date is May 31, 2017. The license status is INACTIVE.
TODD A PROVOST is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000976. The credential type is physical therapist assistant. The effective date is June 1, 2016. The expiration date is May 31, 2017. The business address is 65 Cooper St., West Springfield, MA 01089. The current status is inactive.
| Licensee Name | TODD A PROVOST |
| Credential ID | 787117 |
| Credential Number | 63.000976 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
65 Cooper St. West Springfield MA 01089 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-08-21 |
| Effective Date | 2016-06-01 |
| Expiration Date | 2017-05-31 |
| Refresh Date | 2017-09-03 |
| Street Address | 65 Cooper St. |
| City | West Springfield |
| State | MA |
| Zip Code | 01089 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danielle K Provost | 65 Cooper St., West Springfield, MA 01089 | Physical Therapist | 2018-05-01 ~ 2019-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Darlene A Kurman | 158 Edgewood Rd, W Springfield, MA 01089 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jessica Marquez | 758 Westfield St, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
| Jody L Russell | 121 Greenleaf Ave, West Springfield, MA 01089 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine Zemanek | 81 Braintree Road, West Springfield, MA 01089 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| John Calabrese | 64 High Meadow Dr, West Springfield, MA 01089 | Dentist | ~ |
| Mary Christine Matias | 24 Appaloosa Lane, West Springfield, MA 01089 | Licensed Practical Nurse | ~ |
| Elizabeth A Favreau | 21 Hummingbird Lane, West Springfield, MA 01089 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| James M Hanifan | 90 Bayberry Ln, W Springfield, MA 01089 | Architect | 2020-08-01 ~ 2021-07-31 |
| Katie Marie Sniegowski | 22 Garden St, West Springfield, MA 01089 | Registered Nurse - Temporary | 2020-02-05 ~ 2020-06-04 |
| Surgi-care Inc | 150 Doty Cir, West Springfield, MA 01089 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01089 | |||
| City | West Springfield |
| Zip Code | 01089 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + West Springfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Philip Louder | 5916 Provost Ave., Montgomery, AL 36116 | Physical Therapist Assistant | 2004-04-28 ~ 2006-11-01 |
| Todd P Meehan | 480 Bellevue Ave., Yonkers, NY 10703 | Physical Therapist Assistant | ~ 2006-11-01 |
| Elizabeth Todd | 182 Park St., West Haven, CT 06516 | Physical Therapist Assistant | 2001-02-20 ~ 2006-11-01 |
| Todd A Wilson | 2610 Horizon Se, Grand Rapid, MI 49546 | Physical Therapist Assistant | 2001-02-21 ~ 2006-11-01 |
| Andrew J Provost | 75 Endicott St Apt 2r, Boston, MA 02113-1629 | Physical Therapist | 2013-01-01 ~ 2013-12-31 |
| Danielle K Provost | 65 Cooper St., West Springfield, MA 01089 | Physical Therapist | 2018-05-01 ~ 2019-04-30 |
| Roger N Provost · R N Provost Builders | Po Box 64, Dayville, CT 06241 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
| Todd R Scheer | 19 Coe Ave, Portland, CT 06480-1405 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Todd M Wilkowski | 35 River Rd, Cos Cob, CT 06807-2759 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Veronika Todd | 675 Marcy Ave Apt 4f, Brooklyn, NY 11216-1021 | Physical Therapist | 2020-02-27 ~ 2020-10-31 |
Please comment or provide details below to improve the information on TODD A PROVOST.
| 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).