BENJAMIN J MIKKOLA (Credential# 1219375) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2017. The license expiration date date is April 30, 2018. The license status is INACTIVE.
BENJAMIN J MIKKOLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001471. The credential type is physical therapist assistant. The effective date is May 1, 2017. The expiration date is April 30, 2018. The business address is 43 Hilltop Drive, North Windham, CT 06256. The current status is inactive.
| Licensee Name | BENJAMIN J MIKKOLA |
| Credential ID | 1219375 |
| Credential Number | 63.001471 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
43 Hilltop Drive North Windham CT 06256 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-05-05 |
| Effective Date | 2017-05-01 |
| Expiration Date | 2018-04-30 |
| Refresh Date | 2018-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 760505 | 29.004104 | Massage Therapist | 2005-05-16 | 2015-05-01 - 2017-04-30 | INACTIVE |
| Street Address | 43 Hilltop Drive |
| City | North Windham |
| State | CT |
| Zip Code | 06256 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah T Hodgson | 30 Carolyn Lane, North Windham, CT 06256 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Potters Oil Service | 688 Boston Post Rd, North Windham, CT 06256 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Dunkin Donuts #338738 | 307 Boston Post Rd, Windham, CT 06256 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Patricia A Roy | 29 Circle Drive, North Windham, CT 06256 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Debra A Mcdonald-vanoni | 63 Parish Hill Road, North Windham, CT 06256 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Nathan A Cour | 103 Parish Hill Road, North Windham, CT 06256 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Atiya Rodrigues - Pontes | 11 Stony Ridge Rd, North Windham, CT 06256 | Notary Public Appointment | 2020-05-27 ~ 2025-05-31 |
| Marianne R Carroll | 611 N Windham Rd Ext, North Windham, CT 06256 | Licensed Alcohol and Drug Counselor | 2020-06-01 ~ 2021-05-31 |
| Francine Boulay | 45 Larrow Drive, North Windham, CT 06256 | Notary Public Appointment | 2015-05-01 ~ 2020-04-30 |
| Sharon Rodriguez | 4 Jordan Lane, North Windham, CT 06256 | Medication Administration Certification | 2020-04-29 ~ 2022-04-29 |
| Find all Licenses in zip 06256 | |||
| City | North Windham |
| Zip Code | 06256 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + North Windham |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sandra G Benjamin | 710 Longridge Rd., Stamford, CT 06902 | Physical Therapist Assistant | ~ 2006-11-01 |
| Benjamin Johnson IIi | 202 Canaan Rd, Stratford, CT 06614-4611 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
| Daniel T Benjamin | 50 Hospital Hill Road, Sharon, CT 06069 | Physical Therapist Assistant | ~ 2006-11-01 |
| Lee C Miller | 79 Benjamin Rd., Preston, CT 06365 | Occupational Therapist Assistant | 2015-08-01 ~ 2017-07-31 |
| Donna M Allard | 10 Benjamin Way, South Windsor, CT 06074 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Benjamin J Grimes | 200 Blakeslee, Bristol, CT 06010 | Physical Therapist | 1997-03-26 ~ 1998-04-30 |
| Benjamin M Wicki | 36 Obtuse Rd, Newtown, CT 06470-1044 | Physical Therapist | 2015-06-01 ~ 2016-05-31 |
| Benjamin T Schanzer | 445 E 86th St Apt 3c, New York, NY 10028-6434 | Physical Therapist | 2011-07-01 ~ 2012-06-30 |
| Benjamin A Wang | 80 Twitchgrass Rd, Trumbull, CT 06611-4635 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Benjamin M Simaitis | 111 Strathmore Dr, Cheshire, CT 06410-4322 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
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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).