MATTHEW B LONG (Credential# 1290111) is licensed (Physical Therapist Assistant) 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.
MATTHEW B LONG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001587. The credential type is physical therapist assistant. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 1120 35th Ave N, Saint Petersburg, FL 33704-1853. The current status is active.
| Licensee Name | MATTHEW B LONG |
| Credential ID | 1290111 |
| Credential Number | 63.001587 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
1120 35th Ave N Saint Petersburg FL 33704-1853 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-07-08 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-10-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew B Long | 1638 Pank Road, Cheshire, CT 06410 | Limited Sheet Metal Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Street Address | 1120 35TH AVE N |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33704-1853 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brandy M Long | 1120 35th Ave N, Saint Petersburg, FL 33704-1853 | Physical Therapist Assistant | 2019-08-01 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wynne R Shapiro | 1265 Snell Isle Blvd Ne, Saint Petersburg, FL 33704 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kenneth E Baker Md | 1120 16th Ave N, St. Petersburg, FL 33704 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Michele Jeanne Beaulieu | 1325 Snell Isle Blvd Ne, St. Petersburg, FL 33704 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Sara E Bartolomeo | 130 20th Ave. N., Saint Petersburg, FL 33704 | Registered Nurse | 2015-07-01 ~ 2016-06-30 |
| Alan M Mckeithen | 3712 Foster Hill Dr N, St Petersburg, FL 33704 | Professional Engineer | 1997-05-28 ~ 1998-01-31 |
| Cecilia T Vestergaard · Balboni | 1532 Brightwaters Blvd North East, St. Petersburg, FL 33704 | Registered Nurse | 2012-12-01 ~ 2013-11-30 |
| National Law Enforcement Sports Federation Ltd Inc. | 1140 37th Avenue, Ne, St. Petersburg, FL 33704 | Public Charity | 2005-10-01 ~ 2006-05-31 |
| Missing Children America Votcc Inc. | 2800 4th Street North, #191, St. Petersburg, FL 33704 | Public Charity | ~ |
| Adam H Waite | 3310 1st St. North, St. Peterburg, FL 33704 | Registered Nurse | 2008-12-22 ~ 2009-10-31 |
| Daphne G Allen · Hallas | 1001-21 Ave N, St Petersburg, FL 33704 | Registered Nurse | 2001-07-03 ~ 2002-04-30 |
| Find all Licenses in zip 33704 | |||
| City | SAINT PETERSBURG |
| Zip Code | 33704 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + SAINT PETERSBURG |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sue A Long | P.o. Box 543, West Stockbridge, MA 01266 | Physical Therapist Assistant | 2016-03-01 ~ 2017-02-28 |
| Jennifer P Long | 710 Longridge Rd., Stamford, CT 06902 | Physical Therapist Assistant | ~ 2006-11-01 |
| Matthew J. Piendak | 28 Windmill Ln, Newington, CT 06111-4746 | Physical Therapist Assistant | 2019-11-01 ~ 2020-10-31 |
| Matthew P Steneri | 240 Abbe Rd, Enfield, CT 06082-5727 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| Christian Matthew Rodriguez | 135 Leonard Dr, Bridgeport, CT 06606-1106 | Physical Therapist Assistant | ~ |
| Matthew A San Angelo | 38 Nixon Ave, Naugatuck, CT 06770-3801 | Physical Therapist Assistant | 2019-12-01 ~ 2020-11-30 |
| Matthew S Taylor | 51 West St, Newtown, CT 06470-2056 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
| Alice A Opare | 58 Long Meadow Ave, Hamden, CT 06514-4330 | Physical Therapist Assistant | 2020-05-01 ~ 2021-04-30 |
| Leonardo A Reveldez | 710 Long Ridge Rd., Stamford, CT 06902 | Physical Therapist Assistant | ~ 2006-11-01 |
| Elaine M Esmilio | 710 Long Ridge Rd., Stamford, CT 06902 | Physical Therapist Assistant | ~ 2006-11-01 |
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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).