NICOLE BAUM (Credential# 1623479) 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.
NICOLE BAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.002038. 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 327 White Birch Dr, Waterbury, CT 06708-1887. The current status is active.
| Licensee Name | NICOLE BAUM |
| Credential ID | 1623479 |
| Credential Number | 63.002038 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
327 White Birch Dr Waterbury CT 06708-1887 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-17 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-09-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1637861 | 63.001983-TEMP | PTA Temporary Permit | 2019-03-12 | 2019-03-12 - 2019-04-11 | INACTIVE |
| Street Address | 327 WHITE BIRCH DR |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-1887 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Linda S Walsh | 307 White Birch Drive, Waterbury, CT 06708-1887 | Notary Public Appointment | 2009-01-01 ~ 2013-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lee Ann M Soden · Schmacher | 925 Oronoke Rd, Waterbury, CT 06708 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sega Ready Mix | 310 Chase River Rd, Waterbury, CT 06708 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Mary F Chinn | 24 Taft Pointe Unit 47, Waterbury, CT 06708 | Notary Public Appointment | 2005-09-01 ~ 2010-08-31 |
| Joseph Silva | 65 Dixie Ave., Waterbury, CT 06708 | Medication Administration Certification | 2020-06-03 ~ 2022-06-02 |
| Mandy M Desjarlais | 171 Herschel Ave, Waterbury, CT 06708 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Francisco J Colon Rodriguez LLC | 55 Eastern Ave Apt42, Waterbury, CT 06708 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| Morgan Sunyoung Heo | 1249 West Main Street, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter Mmangisa Chonga | 119 Taft Pt, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Xuemei Li | 28 Cronin Dr, Waterbury, CT 06708 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Tasheaka R Jones | 151 Park Terr, Waterbury, CT 06708 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06708 | |||
| City | WATERBURY |
| Zip Code | 06708 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Alcordo | 31 Clover Ln, Bloomfield, NJ 07003-4301 | Physical Therapist Assistant | 2018-12-20 ~ 2019-05-31 |
| Nicole Clifton | 54 Burlington Rd, Unionville, CT 06085-1303 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
| Nicole E Yacobino | 10 David Drive, Shelton, CT 06484 | Physical Therapist Assistant | 2014-06-01 ~ 2015-05-31 |
| Nicole A Bruno | 70 Sullivan Farm, New Milford, CT 06776-4500 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
| Andrea Nicole Harrington | 76 Marshall Ln, Derby, CT 06418-2327 | Physical Therapist Assistant | 2020-09-01 ~ 2021-08-31 |
| Ashley Nicole Williamson | 352 Caladium Dr, Forney, TX 75126-0630 | Physical Therapist Assistant | 2019-09-03 ~ 2020-03-31 |
| Nicole Emily Nave | 102 Regency Hill Drive, Watertown, CT 06795 | Physical Therapist Assistant | ~ |
| Richard T Baum · Jaros-baum & Bolles | 9 Ivy Hill Rd, Chappaqua, NY 10514 | Professional Engineer | 1991-01-03 ~ 1992-01-31 |
| Nicole B Morey | 179 Dockerel Rd, Tolland, CT 06084-3617 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Nicole M Devona | 98 Erin Dr, Plainfield, CT 06374-1755 | Occupational Therapist Assistant | 2013-08-01 ~ 2015-07-31 |
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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).