CHRISTOPHER JACOB (Credential# 1260618) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
CHRISTOPHER JACOB is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001561. The credential type is physical therapist assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 75 Spruce St, Wethersfield, CT 06109-1648. The current status is active.
| Licensee Name | CHRISTOPHER JACOB |
| Credential ID | 1260618 |
| Credential Number | 63.001561 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
75 Spruce St Wethersfield CT 06109-1648 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-04-20 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1264708 | 63.001532-TEMP | PTA Temporary Permit | 2015-01-28 | 2015-01-28 - 2015-04-20 | INACTIVE |
| Street Address | 75 SPRUCE ST |
| City | WETHERSFIELD |
| State | CT |
| Zip Code | 06109-1648 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mekha Jacob | 75 Spruce St, Wethersfield, CT 06109-1648 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bea C Goddard | 97 Spruce St, Wethersfield, CT 06109-1648 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Amauri Antonio Urena-marmolejos | 47 Spruce St, Wethersfield, CT 06109-1648 | Home Improvement Contractor | 2019-07-18 ~ 2019-11-30 |
| Piotr Budnik | 107 Spruce St, Wethersfield, CT 06109-1648 | Radiographer | 2020-01-01 ~ 2020-12-31 |
| Emily A Rice | 39 Spruce St, Wethersfield, CT 06109-1648 | Engineer-in-training | 2013-08-08 ~ 2023-08-08 |
| Tomasz A Mil | 93 Spruce St, Wethersfield, CT 06109-1648 | Engineer-in-training | ~ |
| 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 Assistant |
| License Type + County | Physical Therapist Assistant + WETHERSFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacob F Selbe | 319 Washington St Unit 1, Norwich, CT 06360-2719 | Physical Therapist Assistant | 2020-03-01 ~ 2021-02-28 |
| Christopher J Miffitt | P.o. Box 434, Charlton, MA 01507 | Physical Therapist Assistant | 2008-10-23 ~ 2009-09-30 |
| Christopher R Fleet | 151 Canal St, Westerly, RI 02891-1526 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| Christopher S Buckley | 248 Quassapaug Rd, Woodbury, CT 06798-2304 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
| Christopher Marshall | 48 White Ave, Worcester, MA 01605 | Physical Therapist Assistant | 2020-03-01 ~ 2021-02-28 |
| Christopher R Zito | 267 Harris Rd, Sterling, CT 06377-1507 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| Christopher Shutovich | 582 Cleveland St, Hazleton, PA 18201-4674 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
| Christopher M Johannes | 56 Applewood Ln, Naugatuck, CT 06770-3178 | Physical Therapist Assistant | 2018-12-01 ~ 2019-11-30 |
| Christopher B Dentch | 29 Croft Ct, Pawcatuck, CT 06379-1233 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| Christopher E Piper | 425 Grant St., Bridgeport, CT 06516 | Physical Therapist Assistant | ~ 2006-11-01 |
Please comment or provide details below to improve the information on CHRISTOPHER JACOB.
| 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).