JUSTINE SAN ANTONIO (Credential# 1615373) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JUSTINE SAN ANTONIO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.006173. The credential type is speech and language pathologist. The effective date is April 1, 2020. The expiration date is April 30, 2021. The business address is 185 Canal St Unit 1024, Shelton, CT 06484-8123. The current status is active.
| Licensee Name | JUSTINE SAN ANTONIO |
| Credential ID | 1615373 |
| Credential Number | 18.006173 |
| Credential Type | Speech and Language Pathologist |
| Business Address |
185 Canal St Unit 1024 Shelton CT 06484-8123 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-04-01 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1689545 | 18.006021-TEMP | Speech and Language Pathologist Temporary Permit | 2019-09-04 | 2019-08-26 - 2020-04-01 | INACTIVE |
| 1642869 | 18.005851-TEMP | Speech and Language Pathologist Temporary Permit | 2019-03-29 | 2019-03-27 - 2019-09-04 | INACTIVE |
| Street Address | 185 CANAL ST UNIT 1024 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-8123 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vivek Dhungana | 185 Canal St Unit 1028, Shelton, CT 06484-8123 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Kristina King Ukanowicz | 185 Canal St Unit 1028, Shelton, CT 06484-8123 | Licensed Practical Nurse | 2016-09-01 ~ 2017-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | Speech and Language Pathologist |
| License Type + County | Speech and Language Pathologist + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justine M Gengarella | 18 Edgewood Ave, Ashaway, RI 02804-2202 | Speech and Language Pathologist | 2019-09-01 ~ 2020-08-31 |
| Justine E. Durr | 14 Lily Ln, Wallingford, CT 06492-4379 | Speech and Language Pathologist | 2019-11-01 ~ 2020-10-31 |
| Justine V O'callaghan | Po Box 721597, San Diego, CA 92172-1597 | Speech and Language Pathologist | 2020-03-01 ~ 2021-02-28 |
| Justine M Marsh | 120 Dudley Rd, Oxford, MA 01540-2014 | Speech and Language Pathologist | 2017-07-01 ~ 2018-06-30 |
| Justine M Hensey | 7 Aspetuck Ln, Monroe, CT 06468-5204 | Speech and Language Pathologist | 2020-04-01 ~ 2021-03-31 |
| Justine M Block | 32 Douglas Lane, Ridgefield, CT 06877 | Speech and Language Pathologist | 2020-01-01 ~ 2020-12-31 |
| Justine Dolan | 2330 E Del Mar Blvd Apt 110, Pasadena, CA 91107-4744 | Speech and Language Pathologist | 2013-05-01 ~ 2014-04-30 |
| Justine L Klein | 675 Townsend Ave Unit 140, New Haven, CT 06512-3178 | Speech and Language Pathologist | 2017-11-01 ~ 2018-10-31 |
| Alexandra E. Antonio | 2931 Dillon St, Baltimore, MD 21224-4834 | Speech and Language Pathologist | ~ |
| Suzanne S Grossman | 62 Champion Cliff, San Antonio, TX 78258 | Speech and Language Pathologist | 2010-09-01 ~ 2011-08-31 |
Please comment or provide details below to improve the information on JUSTINE SAN ANTONIO.
| 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).