STACEY L FARRELL (Credential# 1255795) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
STACEY L FARRELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.010379. The credential type is physical therapist. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 291 Leavenworth Rd, Shelton, CT 06484-1841. The current status is active.
| Licensee Name | STACEY L FARRELL |
| Credential ID | 1255795 |
| Credential Number | 14.010379 |
| Credential Type | Physical Therapist |
| Business Address |
291 Leavenworth Rd Shelton CT 06484-1841 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-02-04 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-12-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1255887 | 14.010345-TEMP | PT Temporary Permit | 2014-11-21 | 2014-11-21 - 2015-02-04 | INACTIVE |
| Street Address | 291 LEAVENWORTH RD |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-1841 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Myrelle J Farrell | 245 Burger Rd, Rhinebeck, NY 12572 | Physical Therapist | 2014-07-31 ~ 2015-07-31 |
| Mary K Farrell | 7197 Ne Ronler Way, Hillsboro, OR 97124 | Physical Therapist | 1998-10-20 ~ 1999-12-31 |
| Ingrid A Elmgren | 56 Farrell Road, Newtown, CT 06470 | Physical Therapist | 1993-10-25 ~ 1994-11-30 |
| Stacey L Williams | 58 Kay Ave, Milford, CT 06460-5418 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Timothy J Farrell | 2610 Horizon Se, Grand Rapids, MI 49546 | Physical Therapist | 1998-07-27 ~ 1999-08-31 |
| Sharon L Farrell | 3 Jeremiah Road, Sandy Hook, CT 06482-1153 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Stacey D Hamlin | 806 N. Irby St., Florence, SC 29506 | Physical Therapist | 2003-11-24 ~ 2004-01-31 |
| Stacey D Fransen | 170 Mansfield St, New Haven, CT 06511 | Physical Therapist | 2006-01-25 ~ 2007-03-31 |
| Stacey A Kinsey | 523 Old Woodbury Rd, Southbury, CT 06488 | Physical Therapist | 2003-12-05 ~ 2005-01-31 |
| Stacey R Leeds | 157 Groton Pl, West Hempstead, NY 11552-1607 | Physical Therapist | 2017-01-01 ~ 2017-12-31 |
Please comment or provide details below to improve the information on STACEY L FARRELL.
| 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).