TRACI B O'BRIEN (Credential# 1043119) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
TRACI B O'BRIEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009300. The credential type is physical therapist. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 104 Kirtland St, Deep River, CT 06417-1835. The current status is active.
| Licensee Name | TRACI B O'BRIEN |
| Credential ID | 1043119 |
| Credential Number | 14.009300 |
| Credential Type | Physical Therapist |
| Business Address |
104 Kirtland St Deep River CT 06417-1835 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-02-08 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1045161 | 14.009269-TEMP | PT Temporary Permit | 2011-12-15 | 2011-12-15 - 2012-02-08 | INACTIVE |
| Street Address | 104 KIRTLAND ST |
| City | DEEP RIVER |
| State | CT |
| Zip Code | 06417-1835 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael F O'brien | 104 Kirtland St, Deep River, CT 06417-1835 | Emergency Medical Technician | 2018-01-26 ~ 2020-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marina Kohary | 108 Kirtland St, Deep River, CT 06417-1835 | Registered Nurse | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sharon Tosetti | 64 Acorn Rd, Deep River, CT 06417 | Nail Technician | ~ |
| Robert R Lucero | 17 River Lane, Deep River, CT 06417 | Architect | 2020-08-01 ~ 2021-07-31 |
| Joel V Nucci | 119 Union Street, Deep River, CT 06417 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Jean-luc Poulard | 157 Main St, Apt.k, Deep River, CT 06417 | Master's Level Social Worker | ~ |
| Celebrations | 161 Main Stret, Deep River, CT 06417 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary E Charlton | 37 Laurel Wood Drive, Deep River, CT 06417 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Anthony Robert Caramanica | 72 Witch Hazel Drive, Deep River, CT 06417 | Notary Public Appointment | ~ |
| Essex Steam Train & Riverboat | River St, Deep River, CT 06417 | Boat Liquor | 2020-05-19 ~ 2021-09-18 |
| Danielle Leigh Hunter | 49 Kirtland Street, Deep River, CT 06417 | Esthetician | ~ |
| Tina C Gilbert | 6 Winter Ave Ste B, Deep River, CT 06417 | Nail Technician | ~ |
| Find all Licenses in zip 06417 | |||
| City | DEEP RIVER |
| Zip Code | 06417 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + DEEP RIVER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James J Mangano | 6 Traci Ln, Hopewell Junction, NY 12533-6008 | Physical Therapist | 2015-10-01 ~ 2016-09-30 |
| Traci L Hazelton | 19 Fox Meadow Lane, South Windsor, CT 06074 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Traci Fee | 9 Pheasant Hill Drive, West Hartford, CT 06107 | Physical Therapist | 2018-12-01 ~ 2019-11-30 |
| Traci L Magliozzi · Testa | 103 Stoney Hill Rd, Shrewsbury, MA 01545 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Traci L Mollot | 7015 Epping Forest Drive, Raleigh, NC 27613 | Physical Therapist | 1999-12-20 ~ 2001-01-31 |
| Traci O'brien | 249 Peck Ln, Orange, CT 06477-3334 | Home Improvement Salesperson | 2010-10-05 ~ 2011-11-30 |
| James A O'brien | 223 Allen Rd, Torrington, CT 06790-4483 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Anna P O'brien | Ballythomas, Co Cork | Physical Therapist | 2000-02-14 ~ 2001-03-31 |
| Evan T O'brien | 230 Gilbert Ave, Pearl River, NY 10965-3016 | Physical Therapist | ~ |
| Susan M Brien | 31 Parker Ter, Glastonbury, CT 06033-2014 | Physical Therapist Assistant | 2019-09-01 ~ 2020-08-31 |
Please comment or provide details below to improve the information on TRACI B O'BRIEN.
| 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).