MICHAEL THOMAS MONTEFUSCO (Credential# 1469616) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MICHAEL THOMAS MONTEFUSCO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001919. The credential type is physical therapist assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 25 Sorghum Mill Dr, Cheshire, CT 06410-3047. The current status is active.
| Licensee Name | MICHAEL THOMAS MONTEFUSCO |
| Credential ID | 1469616 |
| Credential Number | 63.001919 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
25 Sorghum Mill Dr Cheshire CT 06410-3047 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-05-08 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1472818 | 63.001888-TEMP | PTA Temporary Permit | 2018-01-26 | 2018-01-26 - 2018-05-25 | INACTIVE |
| Street Address | 25 SORGHUM MILL DR |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410-3047 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mr B's · Bimonte's Pizza Castle | 155 Highland Ave, Cheshire, CT 06410 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Traci L Bonassar | 452 Castle Glenn, Cheshire, CT 06410 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Faith H Morico · Hennessey | 177 Wallingford Rd, Cheshire, CT 06410 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Renee D Kane | 40 Willow St, Cheshire, CT 06410 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kara Capuano | 20 Renee Court, Cheshire, CT 06410 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Eugenia A Marquez | 22 Currier Way, Cheshire, CT 06410 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Mahnaz M Emamian | 471 West Main St, Cheshire, CT 06410 | Esthetician | ~ |
| Margarita A. Norris | 302 Highland Avenue, Cheshire, CT 06410 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Wendell D Wallace Juedes | 545 Country Club Rd, Cheshire, CT 06410 | Podiatrist | 2020-04-01 ~ 2021-03-31 |
| Hyunjung An | 55 Moneta Ln., Cheshire, CT 06410 | Acupuncturist | ~ |
| Find all Licenses in zip 06410 | |||
| City | CHESHIRE |
| Zip Code | 06410 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + CHESHIRE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas D Cirrinicione | 55 Friendly Way, Stormville, CT 10578 | Physical Therapist Assistant | 2001-09-19 ~ 2006-11-01 |
| Elizabeth A Eaton | 19 Thomas St., Chatham, NY 12037 | Physical Therapist Assistant | 2007-06-29 ~ 2008-06-30 |
| Thomas E Zambarano | 1 Larkwood Ct, Johnston, RI 02919-3036 | Physical Therapist Assistant | 2019-03-01 ~ 2020-02-29 |
| Beverly A Nelson | 63 Thomas Dr, Manchester, CT 06040-2643 | Physical Therapist Assistant | 2019-07-01 ~ 2020-06-30 |
| Thomas Carriere | 168 Abbe Rd, Enfield, CT 06082-5203 | Physical Therapist Assistant | 2019-12-01 ~ 2020-11-30 |
| Kimberly J Thomas | 402 Brandy Hill Rd, Thompson, CT 06277-2426 | Physical Therapist Assistant | 2001-02-20 ~ 2006-11-01 |
| Wrenford M Thomas | 1103 E 212th St, Bronx, NY 10469-2407 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| Thomas L Struck | 8 Laurel Heights Rd., Shelton, CT 06484 | Physical Therapist Assistant | 2013-12-01 ~ 2014-11-30 |
| Thomas C Riggs | 710 Long Ridge Rd., Stamford, CT 06902 | Physical Therapist Assistant | ~ 2006-11-01 |
| Thomas W Horan | 94 Riverside Rd, Sandy Hook, CT 06482-1272 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
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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).