BRIANNA COLLEEN MENGOLD (Credential# 1624032) 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.
BRIANNA COLLEEN MENGOLD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.002057. 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 23 Carriage Dr, Shelton, CT 06484-5916. The current status is active.
| Licensee Name | BRIANNA COLLEEN MENGOLD |
| Credential ID | 1624032 |
| Credential Number | 63.002057 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
23 Carriage Dr Shelton CT 06484-5916 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-10-10 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1624931 | 63.001972-TEMP | PTA Temporary Permit | 2019-01-09 | 2019-01-09 - 2019-04-11 | INACTIVE |
| Street Address | 23 CARRIAGE DR |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-5916 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James R Mengold | 23 Carriage Dr, Shelton, CT 06484-5916 | Public Service Technician - Telephone | 2019-10-01 ~ 2020-09-30 |
| 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 | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Colleen Fercodini | 77 Cedar Ave, Wolcott, CT 06716-1204 | Physical Therapist Assistant | 2020-07-01 ~ 2021-06-30 |
| Colleen M Kelley | 48 Ridgeview Cir, New London, CT 06320-4006 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
| Colleen M Archetto | 47 Arcadia Rd, Exeter, RI 02822-2004 | Physical Therapist Assistant | 2018-07-01 ~ 2019-06-30 |
| Colleen S Murray | 9 Vale Road, Brookfield, CT 06804 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| Colleen O Croce | 27 Devon Ave, Croton-on-hudson, NY 10520 | Physical Therapist Assistant | 2000-09-26 ~ 2006-11-01 |
| Colleen Moosman | 6920 Oakhurst Street, Central Point, OR 97502 | Physical Therapist Assistant | 2009-12-01 ~ 2010-11-30 |
| Brianna F Landry | 8 Littlefield Ln, Old Lyme, CT 06371-1114 | Occupational Therapist Assistant | 2017-08-01 ~ 2019-07-31 |
| Brianna E Cotto | 24 Emerson St, Manchester, CT 06040 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Brianna L. Couture | 25 Stony Brook Rd, Enfield, CT 06082-4401 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Brianna L Landry | 26 Cross Rd, Chepachet, RI 02814-1316 | Physical Therapist | 2015-10-01 ~ 2016-09-30 |
Please comment or provide details below to improve the information on BRIANNA COLLEEN MENGOLD.
| 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).