RICHARD CHAVEZ (Credential# 1030488) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
RICHARD CHAVEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001190. The credential type is physical therapist assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 23 Spear Farm Road, Feeding Hills, MA 01030. The current status is active.
| Licensee Name | RICHARD CHAVEZ |
| Credential ID | 1030488 |
| Credential Number | 63.001190 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
23 Spear Farm Road Feeding Hills MA 01030 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-08-24 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 761366 | 29.004965 | Massage Therapist | 2007-03-29 | 2011-04-01 - 2013-03-31 | INACTIVE |
| 1004208 | 63.001174-TEMP | PTA Temporary Permit | 2011-06-24 | 2011-06-24 - 2011-08-24 | INACTIVE |
| 1001754 | 63 | Physical Therapist Assistant | - | PENDING |
| Street Address | 23 Spear Farm Road |
| City | Feeding Hills |
| State | MA |
| Zip Code | 01030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Janeena J Ieraci | 35 Marlene Dr, Feeding Hills, MA 01030 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jared Hamre | 50 Stony Hill Rd, Feeding Hills, MA 01030 | Real Estate Salesperson | 2020-06-24 ~ 2021-05-31 |
| Jacquelyn Cote | 424 Barry St, Feeding Hills, MA 01030 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Seongsoun Kang | 232 Mapleview Lane, Feeding Hills, MA 01030 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Richard W Gallerani | 656 Springfield St, Feeding Hills, MA 01030 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Lisa Frederick Alvarez | 86 Witheridge St, Feeding Hills, MA 01030 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Allison Amanda Grubbs | 39 High Meadow Road, Feeding Hills, MA 01030 | Speech and Language Pathologist | ~ |
| Catherine M St. Laurent | 106 Columbia Drive, Feeding Hills, MA 01030 | Audiologist | 2020-07-01 ~ 2021-06-30 |
| Patricia E Milardo | 148 Roosevelt Ave., Feeding Hills, MA 01030 | Respiratory Care Practitioner | 2020-06-01 ~ 2021-05-31 |
| Angela S Aussant | 52 Northwood Street, Feeding Hills, MA 01030 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Find all Licenses in zip 01030 | |||
| City | Feeding Hills |
| Zip Code | 01030 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + Feeding Hills |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anna Chavez · Chavez-jones | 161 Manchester Road, Glastonbury, CT 06033 | Physical Therapist | 2011-02-01 ~ 2012-01-31 |
| Richard S Lenkiewicz | 220 New York Ave., Claymont, DE 19703 | Physical Therapist Assistant | ~ 2006-11-01 |
| Richard E Herman | 36 Clifton Pl, Norwich, CT 06360-6650 | Physical Therapist Assistant | 2019-04-01 ~ 2020-03-31 |
| Katherine L Richard | 17 Joan St, Wilbraham, MA 01095-2036 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
| Richard A Vergoni | 36 Genevieve St, Putnam, CT 06260-2010 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| Richard E Herman | 148 Lambtown Rd., Mystic, CT 06355 | Physical Therapist Assistant | ~ 2006-11-01 |
| Richard W Adams | 11 Betsy Drive, Bristol, RI 06010 | Physical Therapist Assistant | ~ 2006-11-01 |
| Richard K Amponsah | 1655 Flatbush Ave Apt B606, Brooklyn, NY 11210-9017 | Physical Therapist Assistant | ~ |
| Richard A Lewis Jr | 85 Blokland Drive, Longmeadow, MA 01106 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
| Richard C Saiman | 10 Talcott Glen Rd., Farmington, CT 06032 | Physical Therapist Assistant | 2019-08-01 ~ 2020-07-31 |
Please comment or provide details below to improve the information on RICHARD CHAVEZ.
| 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).