JENNIFER L RANDALL (Credential# 1310695) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 19, 2015. The license expiration date date is September 30, 2016. The license status is INACTIVE.
JENNIFER L RANDALL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.010748. The credential type is physical therapist. The effective date is November 19, 2015. The expiration date is September 30, 2016. The business address is 5300 Dutch Hill Rd, Cincinnatus, NY 13040-2106. The current status is inactive.
| Licensee Name | JENNIFER L RANDALL |
| Credential ID | 1310695 |
| Credential Number | 14.010748 |
| Credential Type | Physical Therapist |
| Business Address |
5300 Dutch Hill Rd Cincinnatus NY 13040-2106 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-11-19 |
| Effective Date | 2015-11-19 |
| Expiration Date | 2016-09-30 |
| Refresh Date | 2017-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1314147 | 14.010688-TEMP | PT Temporary Permit | 2015-09-29 | 2015-09-29 - 2015-11-19 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer L Randall | 20 Waterhouse St # 1, Somerville, MA 02144-1716 | Licensed Clinical Social Worker | 2010-01-12 ~ 2010-06-30 |
| Street Address | 5300 DUTCH HILL RD |
| City | CINCINNATUS |
| State | NY |
| Zip Code | 13040-2106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey L Peck | 2440 Route 26, Cincinnatus, NY 13040 | Tv & Radio Limited Dish Antenna Technician | ~ |
| Scott A Yeaw | 573 State Hwy 23, Cincinnatus, NY 13040 | Tv & Radio Antenna Installation & Repair Dealer | ~ |
| Sherry L Byron | P.o. Box 58, Cincinnatus, NY 13040 | Licensed Practical Nurse | 2007-09-17 ~ 2008-06-30 |
| City | CINCINNATUS |
| Zip Code | 13040 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + CINCINNATUS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward P Tantorski | 77 Randall Dr, North Haven, CT 06473 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Mark E Tantorski | 77 Randall Dr., North Haven, CT 06473 | Physical Therapist | 2005-06-01 ~ 2006-07-31 |
| Shannon L Morin | 375 Randall Road, Lewiston, ME 04240 | Physical Therapist | 1999-04-05 ~ 2000-03-31 |
| Puja J Padbidri | 17 Randall Avenue, #b, Stamford, CT 06905 | Physical Therapist | 2011-07-01 ~ 2012-06-30 |
| Randall Vincek | 9389 Lemon Street, Angola, NY 14006 | Physical Therapist | 1998-10-12 ~ 1999-11-30 |
| Jennifer A Spitz | 21 Marinero Cir Apt 104, Tiburon, CA 94920-1665 | Physical Therapist | ~ |
| Jennifer L Mills | Box 320, Lexington, SC 29072 | Physical Therapist | ~ 1997-05-31 |
| Jennifer J Rea | 105 Stanhope Ct, Beckley, WV 25801-4722 | Physical Therapist | 2008-08-18 ~ 2009-10-31 |
| Jennifer C Fannon | 82 Redstone St, Bristol, CT 06010-7947 | Physical Therapist | ~ |
| Jennifer L Sisson | P.o. Box 512, Bristol, NH 03222 | Physical Therapist | 2003-07-30 ~ 2004-07-31 |
Please comment or provide details below to improve the information on JENNIFER L RANDALL.
| 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).