NICOLE C SURIN (Credential# 1041678) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
NICOLE C SURIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009307. The credential type is physical therapist. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 6 Saint George Place, Westport, CT 06880. The current status is active.
| Licensee Name | NICOLE C SURIN |
| Credential ID | 1041678 |
| Credential Number | 14.009307 |
| Credential Type | Physical Therapist |
| Business Address |
6 Saint George Place Westport CT 06880 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-02-08 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-05-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1042348 | 14.009250-TEMP | PT Temporary Permit | 2011-11-23 | 2011-11-23 - 2012-02-08 | INACTIVE |
| Street Address | 6 Saint George Place |
| City | Westport |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | Westport |
| Zip Code | 06880 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + Westport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cognac Tesseron St Surin Xo | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2008-05-25 ~ 2011-05-23 |
| Nicole Lipinski | 10 Nettleton Ct, Shelton, CT 06484-4439 | Physical Therapist | ~ |
| Nicole Willis | 85 Seymour St Ste 604, Hartford, CT 06106-5525 | Physical Therapist | ~ |
| Domaine Saint Surin Cognac | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2006-08-18 ~ 2009-08-17 |
| Nicole E Theus | 6 Tommys Ln, Brookfield, CT 06804-1616 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Nicole S Ash | 60 School Street, Bloomfield, CT 06002 | Physical Therapist | 2013-04-01 ~ 2014-03-31 |
| Nicole C Rava | 96 Russett Ln, Middletown, CT 06457-5809 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Nicole Korda | 59 Mckinley Ave, New Haven, CT 06515-2733 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Nicole L Ellrod | 10 Halwood Dr., Granby, CT 06035 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Nicole Dolan | 53 Grapevine Ln, Berlin, CT 06037-2272 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on NICOLE C SURIN.
| 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).