AMY L CLARK (Credential# 922489) is licensed (Physical Therapist) 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 L CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008853. The credential type is physical therapist. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 196 Turnpike Rd, Somers, CT 06071-1239. The current status is active.
Licensee Name | AMY L CLARK |
Credential ID | 922489 |
Credential Number | 14.008853 |
Credential Type | Physical Therapist |
Business Address |
196 Turnpike Rd Somers CT 06071-1239 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2010-07-21 |
Effective Date | 2019-10-01 |
Expiration Date | 2020-09-30 |
Refresh Date | 2019-08-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
932265 | 14-TEMP | PT Temporary Permit | 2010-05-18 | 2010-05-18 - 2010-07-21 | INACTIVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Amy L Clark | 166 Hanover-versailles Road, Hanover, CT 06350 | Notary Public Appointment | 2015-11-01 ~ 2020-10-31 |
Amy L Clark | 3808 23rd Street, Lubbock, TX 79410 | Registered Nurse | 1999-07-16 ~ 2000-07-31 |
Street Address | 196 TURNPIKE RD |
City | SOMERS |
State | CT |
Zip Code | 06071-1239 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rebecca's Country Pie | 35 Pinedale Rd, Somers, CT 06071 | Bakery | 2020-07-01 ~ 2021-06-30 |
Joseph P Grzelak | 36 Pond Circle, Somers, CT 06071 | Psychologist | 2020-06-01 ~ 2021-05-31 |
Susan P Haight | 51 Whisper Woods Drive, Somers, CT 06071 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Alison Poppe | 121 Florida Rd, Somers, CT 06071 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Emily Pruden | 100 Bobolink Ln, Somers, CT 06071 | Registered Nurse | 2020-06-17 ~ 2020-11-30 |
Matthew D Higgins | 10 Whisper Woods Drive, Somers, CT 06071 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Judith C Napolitano | 55 White Birch Circle, Somers, CT 06071 | Real Estate Salesperson | ~ |
Mary Ellen Bickley | 552 Springfield Rd, Somers, CT 06071 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
J C Real Estate Group LLC | 3 School St, Somers, CT 06071 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Laurie A Mahon · Wirtalla | 531 Hallhill Rd, Somers, CT 06071 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
Find all Licenses in zip 06071 |
City | SOMERS |
Zip Code | 06071 |
License Type | Physical Therapist |
License Type + County | Physical Therapist + SOMERS |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Clark M Racho | Midland, TX 79706 | Physical Therapist | 2015-10-02 ~ 2016-05-31 |
Juliana Guerrero | 565 Clark Ave Apt 70, Bristol, CT 06010-4055 | Physical Therapist | 2018-09-01 ~ 2019-08-31 |
Elsa V Tamse | 26 Haliday St, Clark, NJ 07066-1833 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
Patrick Clark Gathman | 10 Starlit Dr, Northport, NY 11768-3514 | Physical Therapist | ~ |
Michael A Clark | 4153 Madison Ave, Trumbull, CT 06611-3533 | Physical Therapist | ~ |
Peter J Sydie | 12 Clark St., Mansfield, CT 06250 | Physical Therapist | 2013-10-01 ~ 2014-09-30 |
Jennifer Ciardulli | 326 Clark Ave, Branford, CT 06405-4704 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
Susan M Brown | 44 Clark St #1, Everett, MA 02149 | Physical Therapist | 2002-11-12 ~ 2003-11-30 |
Velvys Clark | 3 Kenneth La, Parsippany, NJ 07054 | Physical Therapist | 1994-03-31 ~ 1995-05-31 |
William L Clark | 286 Vineyard Dr., Kensington, CT 06037 | Physical Therapist | 2005-08-18 ~ 2006-10-31 |
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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).