MELISSA S BOUTAGY (Credential# 1286994) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
MELISSA S BOUTAGY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.010516. The credential type is physical therapist. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 113 Hillcrest Ave, Hamden, CT 06514-3503. The current status is active.
Licensee Name | MELISSA S BOUTAGY |
Credential ID | 1286994 |
Credential Number | 14.010516 |
Credential Type | Physical Therapist |
Business Address |
113 Hillcrest Ave Hamden CT 06514-3503 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2015-06-09 |
Effective Date | 2019-10-01 |
Expiration Date | 2020-09-30 |
Refresh Date | 2019-09-04 |
Street Address | 113 HILLCREST AVE |
City | HAMDEN |
State | CT |
Zip Code | 06514-3503 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Erika Henley | 175 Hightop Circle West, Hamden, CT 06514 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
Yunmi Lee | 144 Hill St, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-05-31 |
Rosa M Gordillo | 155 Gorham Ave, Hamden, CT 06514 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Linda C Disbrow | 61 Sherman Lane, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Kimberly Marie Fernandes | 660 Mix Ave #1h, Hamden, CT 06514 | Radiographer | 2020-07-01 ~ 2021-06-30 |
Marie Junie Cyril | 175 Oberlin Road, Hamden, CT 06514 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Erica Weiss | 4 Partridge Crossing, Hamden, CT 06514 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Kimberly S Traverso | 50 Building Brook Road, Hamden, CT 06514 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
Kevin A Guess | 3rd Street, Hamden, CT 06514 | Public Weigher | 2020-06-12 ~ 2021-06-30 |
Marilyn Pavelus | 389 Gilbert Ave, Hamden, CT 06514 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06514 |
City | HAMDEN |
Zip Code | 06514 |
License Type | Physical Therapist |
License Type + County | Physical Therapist + HAMDEN |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Melissa C Lee | 411 Village St, Bristol, CT 06010-8067 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
Melissa Martin | 115 Torrance Pl, Gowanda, NY 14070-1421 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
Melissa L Paul | 89 Forest Dr, Uncasville, CT 06382-1423 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
Melissa Z Reed | 9 Laurel Dr, Brookfield, CT 06804-1515 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
Melissa A Ferrandino | 1 Roxbury Rd, Danbury, CT 06811 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
Melissa Hein | 339 Congdon St, Middletown, CT 06457-2027 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
Melissa J Graham | 640 Mix Avenue, Hamden, CT 06514 | Physical Therapist | 2007-05-01 ~ 2008-06-30 |
Melissa K Nelson | 17 Hillock Dr, Wallingford, CT 06492-2111 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
Melissa Maura | 301 Heritage Ln, Monroe, NY 10950-5173 | Physical Therapist | 2014-07-23 ~ 2015-02-28 |
Melissa O Jasek | 22 Teal, Groton, CT 06340 | Physical Therapist | 1995-09-19 ~ 1996-11-30 |
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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).