JENNIFER MARCUS ACQUAVIVA (Credential# 987687) 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.
JENNIFER MARCUS ACQUAVIVA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009044. The credential type is physical therapist. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 49 Beverly Ln, Fairfield, CT 06825-2716. The current status is active.
| Licensee Name | JENNIFER MARCUS ACQUAVIVA |
| Credential ID | 987687 |
| Credential Number | 14.009044 |
| Credential Type | Physical Therapist |
| Business Address |
49 Beverly Ln Fairfield CT 06825-2716 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-04-15 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-08-02 |
| Street Address | 49 BEVERLY LN |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-2716 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anthony Acquaviva | 49 Beverly Ln, Fairfield, CT 06825-2716 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander M Testani | 77 Winoca Rd, Fairfield, CT 06825 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
| Salome Cleopatra Nail | 2399 Black Rock Turnpike, Fairfield, CT 06825 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Angela M Carmona | 198 Castle Ave, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maria D Coutinho | 131 Roseville Street, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jie Che | 1519 Black Rock Tpke, Fairfield, CT 06825 | Esthetician | ~ |
| Eva I Chiamulera | 86 Brookfield Avenue, Fairfield, CT 06825 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Suzanne P Taluy | 558 Villa Ave, Fairfield, CT 06825 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Benjamin Allan Gott | 262 Euclid Avenue, Fairfield, CT 06825 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Charles J Applebaum | 841 Stratfield Rd, Fairfield, CT 06825 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Jeri Kriskey | 1179 Merritt Street, Fairfield, CT 06825 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Find all Licenses in zip 06825 | |||
| City | FAIRFIELD |
| Zip Code | 06825 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen J Acquaviva | 7 Alaska Ave., Jackson, NJ 08527 | Physical Therapist Assistant | 2003-06-30 ~ 2006-11-01 |
| Eric T. Marcus | 158 Paddock Ave Apt 603, Meriden, CT 06450-6975 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Marcus Wilcox | 56 County Rd, Simsbury, CT 06070-1206 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
| Elizabeth A Marcus | 57 Teeter Rock Rd, Trumbull, CT 06611-5023 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Marcus D Bacon | 42 Pepin Ln, East Berlin, CT 06023-1052 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Jennifer C Barredo | Lot 26 Block 5 Aguinaldo St. | Physical Therapist | ~ |
| Jennifer B Legge | P.o. Box 709, Wharton, TX 77488 | Physical Therapist | ~ 1997-03-31 |
| Jennifer J Rea | 105 Stanhope Ct, Beckley, WV 25801-4722 | Physical Therapist | 2008-08-18 ~ 2009-10-31 |
| Jennifer M Mcmahon | 148 Factory St, Salisbury, CT 06068-1704 | Physical Therapist | ~ |
| Jennifer Holtzer | 8 Turnberry Ln, Bloomfield, CT 06002-2385 | Physical Therapist | ~ |
Please comment or provide details below to improve the information on JENNIFER MARCUS ACQUAVIVA.
| 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).