SUSAN C CARBINE (Credential# 1356964) is licensed (Physical Therapist Assistant) 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.
SUSAN C CARBINE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001726. The credential type is physical therapist assistant. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 824 Knapps Hwy, Fairfield, CT 06825-4210. The current status is active.
| Licensee Name | SUSAN C CARBINE |
| Credential ID | 1356964 |
| Credential Number | 63.001726 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
824 Knapps Hwy Fairfield CT 06825-4210 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-07-13 |
| Effective Date | 2019-12-01 |
| Expiration Date | 2020-11-30 |
| Refresh Date | 2019-11-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1360653 | 63.001708-TEMP | PTA Temporary Permit | 2016-06-14 | 2016-06-14 - 2016-09-30 | INACTIVE |
| Street Address | 824 KNAPPS HWY |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-4210 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel Carbine · D Carbine Construction | 824 Knapps Hwy, Fairfield, CT 06825 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara Bogdanyi | 878 Knapps Hwy, Fairfield, CT 06825-4210 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander M Testani | 77 Winoca Rd, Fairfield, CT 06825 | Emergency Medical Technician | 2020-06-26 ~ 2022-03-31 |
| Salome Cleopatra Nail | 2399 Black Rock Turnpike, Fairfield, CT 06825 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Angela M Carmona | 198 Castle Ave, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maria D Coutinho | 131 Roseville Street, Fairfield, CT 06825 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jie Che | 1519 Black Rock Tpke, Fairfield, CT 06825 | Esthetician | ~ |
| Eva I Chiamulera | 86 Brookfield Avenue, Fairfield, CT 06825 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Suzanne P Taluy | 558 Villa Ave, Fairfield, CT 06825 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Benjamin Allan Gott | 262 Euclid Avenue, Fairfield, CT 06825 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Charles J Applebaum | 841 Stratfield Rd, Fairfield, CT 06825 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Jeri Kriskey | 1179 Merritt Street, Fairfield, CT 06825 | Marital and Family Therapist Associate | 2020-06-24 ~ 2022-06-24 |
| Find all Licenses in zip 06825 | |||
| City | FAIRFIELD |
| Zip Code | 06825 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan P Radcliffe | Po Box 233, Plymouth, NH 03264 | Physical Therapist Assistant | 2005-08-16 ~ 2006-11-01 |
| Daniel Carbine · D Carbine Construction | 824 Knapps Hwy, Fairfield, CT 06825 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Susan P Maack | P.o. Box 9252, Lyndhurst, NJ 07071 | Physical Therapist Assistant | 2004-11-29 ~ 2006-11-01 |
| Susan M Legge | 93 Richards Ave., #507, Norwalk, CT 06854 | Physical Therapist Assistant | 2009-09-01 ~ 2010-08-31 |
| Susan J Mcdowell | 208 Woodward St, Easton, MO 64443 | Physical Therapist Assistant | 2011-07-01 ~ 2012-06-30 |
| Susan Raschi | 42 Cherryvale Ave, Springfield, MA 01108 | Physical Therapist Assistant | 2000-12-13 ~ 2006-11-01 |
| Susan M Brien | 31 Parker Ter, Glastonbury, CT 06033-2014 | Physical Therapist Assistant | 2019-09-01 ~ 2020-08-31 |
| Susan M Stark | 68 Plantation Dr., Agawam, MA 01001 | Physical Therapist Assistant | 2019-07-01 ~ 2020-06-30 |
| Susan M Mondor | 347 Glendale Rd., Wilbraham, MA 01095 | Physical Therapist Assistant | 2016-05-01 ~ 2017-04-30 |
| Susan L Lewonczyk | 33 Raymond Street, Stratford, CT 06614 | Physical Therapist Assistant | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on SUSAN C CARBINE.
| 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).