SAMANTHA R GILLIS (Credential# 999066) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2015. The license expiration date date is October 31, 2016. The license status is INACTIVE.
SAMANTHA R GILLIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009304. The credential type is physical therapist. The effective date is November 1, 2015. The expiration date is October 31, 2016. The business address is 11202 Town Walk Dr, Hamden, CT 06518-3723. The current status is inactive.
Licensee Name | SAMANTHA R GILLIS |
Credential ID | 999066 |
Credential Number | 14.009304 |
Credential Type | Physical Therapist |
Business Address |
11202 Town Walk Dr Hamden CT 06518-3723 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2012-02-08 |
Effective Date | 2015-11-01 |
Expiration Date | 2016-10-31 |
Refresh Date | 2017-02-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
999067 | 14.009275-TEMP | PT Temporary Permit | 2011-06-02 | 2011-06-02 - 2011-09-23 | INACTIVE |
Street Address | 11202 TOWN WALK DR |
City | HAMDEN |
State | CT |
Zip Code | 06518-3723 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Karen J Brooks | 11202 Town Walk Dr, Hamden, CT 06518-3723 | Registered Nurse | 2013-08-01 ~ 2014-08-31 |
Dawn Salvo | 11202 Town Walk Dr, Hamden, CT 06518 | Notary Public Appointment | 1994-02-02 ~ 1999-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kevin M Grassi | 11232 Town Walk Dr, Hamden, CT 06518-3723 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Amir K Durrani | 11214 Town Walk Dr, Hamden, CT 06518-3723 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Barbara Esposito Aprn | 209 Todd St, Hamden, CT 06518 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Sorrentos Brick Oven Pizzeria | 244 Skiff St, Hamden, CT 06518 | Bakery | 2020-07-01 ~ 2021-06-30 |
Jenna Bump | 61 Cannon St, Hamden, CT 06518 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Jennifer E Pohl | 70 Norwood Avenue, Hamden, CT 06518 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
Nicole O Miller-tyson | 648 Evergreen Ave, Hamden, CT 06518 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Nancy D Anderson | 399 Hillfield Road, Hamden, CT 06518 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
Flowers From The Farm | 1035 Shepard Avenue, Hamden, CT 06518 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Lynda Burke | 68 Linden Avenue, Hamden, CT 06518 | Notary Public Appointment | 2011-12-08 ~ 2016-12-31 |
Kelly Lynn Huppert | 1334 Town Walk Dr, Hamden, CT 06518 | Master's Level Social Worker | ~ |
Robert L Engengro | 365 Forest Street, Hamden, CT 06518 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
Find all Licenses in zip 06518 |
City | HAMDEN |
Zip Code | 06518 |
License Type | Physical Therapist |
License Type + County | Physical Therapist + HAMDEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Brigid Mary Gillis | 3 Aster Ln, Levittown, NY 11756-2401 | Physical Therapist | 2018-08-02 ~ 2019-05-31 |
Charles A Gillis · Ca Gillis Painting | 397 Buddington Rd, Groton, CT 06340 | Home Improvement Contractor | ~ 1995-09-01 |
David A Gillis · Dave Gillis Builder | 660 Old Town Rd, Trumbull, CT 06611-4812 | Plumbing & Piping Limited Contractor | 2019-11-01 ~ 2020-10-31 |
Samantha L Perkins | 46 Briarwood Dr, Old Saybrook, CT 06475-2043 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
Samantha Blazer | 96 Kent La., Trumbull, CT 06611 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
Samantha L Huebner | 47 E Rutland Rd, Milford, CT 06461-1807 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
Samantha A Van Zyl | 8 Umgeni Rd - River Club, 2191 | Physical Therapist | 2017-05-01 ~ 2018-04-30 |
Samantha A Fallon | 218 Bayview Ave, East Greenwich, RI 02818-4068 | Physical Therapist | 2012-05-01 ~ 2013-04-30 |
Samantha S Ramsden | 507 Churchill Court, Fayetteville, NY 13066 | Physical Therapist | 2007-04-12 ~ 2008-01-31 |
Samantha Rockwood | 16 Partridge Ct, Windsor Locks, CT 06096-1311 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
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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).