ERIC M MOLA (Credential# 1144775) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
ERIC M MOLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001337. The credential type is physical therapist assistant. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 120 Ralph Rd, Manchester, CT 06040-6325. The current status is active.
| Licensee Name | ERIC M MOLA |
| Credential ID | 1144775 |
| Credential Number | 63.001337 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
120 Ralph Rd Manchester CT 06040-6325 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-04-16 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2020-01-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1149795 | 63.001316-TEMP | PTA Temporary Permit | 2013-02-19 | 2013-02-19 - 2013-04-16 | INACTIVE |
| Street Address | 120 RALPH RD |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-6325 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephanie N Mola | 120 Ralph Rd, Manchester, CT 06040-6325 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Allan B Theriault · A & L Services | 120 Ralph Rd, Manchester, CT 06040-6325 | Electrical Unlimited Contractor | 2013-10-01 ~ 2014-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Irene C Smith | 198 Ralph Rd, Manchester, CT 06040-6325 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
| Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
| Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
| Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + MANCHESTER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Larisa Tsidulko | 91 Eric Dr, Palm Coast, FL 32164-6299 | Physical Therapist Assistant | ~ |
| Eric Wade | 720 Mix Ave Unit 315, Hamden, CT 06514-2295 | Physical Therapist Assistant | 2020-05-01 ~ 2021-04-30 |
| Eric J Kelly | 146 Tedford Dr, Longmeadow, MA 01106-3330 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
| Eric B Bouchard | 156 Wilson Street, Bridgeport, CT 06605 | Physical Therapist Assistant | ~ 2006-11-01 |
| Eric C Dyson | 6 Wintergreen Dr, Quaker Hill, CT 06375-1436 | Physical Therapist Assistant | 2020-07-01 ~ 2021-06-30 |
| Eric A Perez | 41 Knollwood Drive, Wolcott, CT 06716 | Physical Therapist Assistant | 2019-11-01 ~ 2020-10-31 |
| Eric J Irizarry | 19 Wallace Ave., Mount Vernon, NY 10552 | Physical Therapist Assistant | 2004-07-13 ~ 2006-11-01 |
| Eric Lee Willey | 169 Silas Ridge Ln, Ararat, NC 27007-8466 | Physical Therapist Assistant | 2020-03-03 ~ 2020-04-30 |
| Eric J Terzini | 11 Hill Farm Way, Barkhamsted, CT 06063-3327 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
| Eric Christopher Johnston | 41 Nanni Dr, Winsted, CT 06098-2106 | Physical Therapist Assistant | 2019-11-01 ~ 2020-10-31 |
Please comment or provide details below to improve the information on ERIC M MOLA.
| 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).