TAISSA AR DECYK (Credential# 1200210) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2016. The license expiration date date is May 31, 2017. The license status is INACTIVE.
TAISSA AR DECYK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001455. The credential type is physical therapist assistant. The effective date is June 1, 2016. The expiration date is May 31, 2017. The business address is Po Box 89, Pine Meadow, CT 06061-0089. The current status is inactive.
Licensee Name | TAISSA AR DECYK |
Credential ID | 1200210 |
Credential Number | 63.001455 |
Credential Type | Physical Therapist Assistant |
Business Address |
Po Box 89 Pine Meadow CT 06061-0089 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2014-04-17 |
Effective Date | 2016-06-01 |
Expiration Date | 2017-05-31 |
Refresh Date | 2017-09-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1200215 | 63.001418-TEMP | PTA Temporary Permit | 2013-12-27 | 2013-12-27 - 2014-04-17 | INACTIVE |
Street Address | PO BOX 89 |
City | PINE MEADOW |
State | CT |
Zip Code | 06061-0089 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joellen Johnson | 16 Ten Street, Pine Meadow, CT 06061 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Ronnie Manning | 8 Wickett St, Pine Meadow, CT 06061 | Medication Administration Certification | 2020-03-06 ~ 2022-03-05 |
Krista Warren | 64 Wickett Street, Pine Meadow, CT 06061 | Medication Administration Certification | 2020-03-31 ~ 2022-03-30 |
Stephen J Morholt | 8 Wickett Street, Pine Meadow, CT 06061 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
Carl Cyr | 25 Black Bridge Rd, Pine Meadow, CT 06061 | Home Improvement Contractor | 2019-12-13 ~ 2020-11-30 |
Jessica Marie Lawlor | 32 Wickett Street, Pine Meadow, CT 06061 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
Kelly Morante | 440 Main St, Pine Meadow, CT 06061 | Notary Public Appointment | 2019-06-13 ~ 2024-06-30 |
Sharon Delaini | Wickett Street, Pine Meadow, CT 06061 | Notary Public Appointment | 1987-08-20 ~ 1992-03-31 |
Michael J Reilly | 405 Main Street, Pine Meadow, CT 06061 | Notary Public Appointment | 2016-02-01 ~ 2021-01-31 |
Fentyshia L Daniels | 251 Holland Road, Bridgeport, CT 06061 | Notary Public Appointment | 2017-11-27 ~ 2022-11-30 |
Find all Licenses in zip 06061 |
City | PINE MEADOW |
Zip Code | 06061 |
License Type | Physical Therapist Assistant |
License Type + County | Physical Therapist Assistant + PINE MEADOW |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
One A Any | 123, Avon, CT 06001 | Physical Therapist Assistant | 2001-01-31 ~ 2002-01-01 |
Antony Pinto | Bronx, NY 10461 | Physical Therapist Assistant | ~ |
Dollyann Echevarria | Carolina, PR 00983 | Physical Therapist Assistant | ~ |
Irene Figgers | 640 Mix Ave Apt 5e, Hamden, CT 06514-2342 | Physical Therapist Assistant | 2010-11-01 ~ 2011-10-31 |
Ryan Stein | 295 Deerfield Dr, Stratford, CT 06614 | Physical Therapist Assistant | ~ |
Marissa A Roy | 741 Mountain Rd, Suffield, CT 06078-2011 | Physical Therapist Assistant | 2019-09-01 ~ 2020-08-31 |
Samuel A Stoner | Po Box 682, Killingworth, CT 06419-0682 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
Nomusa P Dumakude | 70 Sunrise Ave, Fairfield, CT 06824-4659 | Physical Therapist Assistant | ~ |
Tiffanie Nguyen | 3 Shelby Dr, Wallingford, CT 06492-3413 | Physical Therapist Assistant | ~ |
Jessica R Alger | 81 Dartmouth St Apt 305, Pittsfield, MA 01201-3531 | Physical Therapist Assistant | ~ |
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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).