GINA M KOUDELKA (Credential# 1152753) 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.
GINA M KOUDELKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009878. The credential type is physical therapist. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 75 Harding St, Wethersfield, CT 06109-1515. The current status is active.
| Licensee Name | GINA M KOUDELKA |
| Credential ID | 1152753 |
| Credential Number | 14.009878 |
| Credential Type | Physical Therapist |
| Business Address |
75 Harding St Wethersfield CT 06109-1515 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-08-01 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1171599 | 14.009793-TEMP | PT Temporary Permit | 2013-06-25 | 2013-06-25 - 2013-08-01 | INACTIVE |
| 1167607 | 14.009767-TEMP | PT Temporary Permit | - | INACTIVE |
| Street Address | 75 HARDING ST |
| City | WETHERSFIELD |
| State | CT |
| Zip Code | 06109-1515 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hafeez Khan | 61 Harding St, Wethersfield, CT 06109-1515 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Joseph Ingenito | 95 Harding St, Wethersfield, CT 06109-1515 | Elevator Limited Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan E Dimauro | 330 Ridge Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Boccacio | 174 Longvue Drive, Wethersfield, CT 06109 | Esthetician | ~ |
| Steven C Hine | 294 Hang Dog Ln, Wethersfield, CT 06109 | Architect | 2020-08-01 ~ 2021-07-31 |
| Karolina Monika Fitrzyk | 41 Mountain Laurel, Wethersfield, CT 06109 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Matthew R Dobos | 33 Oxford St, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Samantha Grabbe | 17 Rockland St, Wethersfield, CT 06109 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Judith M Martz | 307 Nott Street, Wethersfield, CT 06109 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ups Store (the) | 1077 Silas Deane Hwy, Wethersfield, CT 06109 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Amber H Washington | 103 Parkview Drive, Wethersfield, CT 06109 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen A Mullady · Brancati | 75 Dale Rd, Wethersfield, CT 06109 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06109 | |||
| City | WETHERSFIELD |
| Zip Code | 06109 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + WETHERSFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gina Marie A Young | #13 Gen Echavez Ext., 6000 | Physical Therapist | ~ |
| Gina C Wyatt | 516 Liberty St, Elmira, NY 14904 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Gina L Donato | 96 Augusta St, Oakville, CT 06779 | Physical Therapist | 2018-10-01 ~ 2019-09-30 |
| Gina B Monahan | 413 Tiffany Ln, Bristol, CT 06010-9439 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Gina T Pezzetti | 55 Highview Ave, Stamford, CT 06907 | Physical Therapist | 2005-02-11 ~ 2006-03-31 |
| Gina M Colgan | 62 Blueberry Ln, Shelton, CT 06484-3750 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Gina D Digirolamo | 58 Natureview Trl, Bethel, CT 06801-1456 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
| Gina D Degregorio | 11 Carver Ave, Plymouth, MA 02360-1109 | Physical Therapist | 2018-08-01 ~ 2019-07-31 |
| Gina R Marshall | 331 N Society Rd, Canterbury, CT 06331-1240 | Physical Therapist Assistant | 2017-02-01 ~ 2018-01-31 |
| Gina T Walerysiak | 81 Wharton Brook Dr, Wallingford, CT 06492-4838 | Physical Therapist | 2012-09-01 ~ 2013-08-31 |
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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).