JILLIAN THERESE GORMAN (Credential# 1632515) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JILLIAN THERESE GORMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.002033. The credential type is physical therapist assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 6 Maria Hotchkiss Rd, Prospect, CT 06712-1309. The current status is active.
| Licensee Name | JILLIAN THERESE GORMAN |
| Credential ID | 1632515 |
| Credential Number | 63.002033 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
6 Maria Hotchkiss Rd Prospect CT 06712-1309 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-16 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-05-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1633014 | 63.001981-TEMP | PTA Temporary Permit | 2019-02-19 | 2019-02-19 - 2019-04-11 | INACTIVE |
| Street Address | 6 MARIA HOTCHKISS RD |
| City | PROSPECT |
| State | CT |
| Zip Code | 06712-1309 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Randall A Allen | 36 Maria Hotchkiss Rd, Prospect, CT 06712-1309 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Ishahmar Rodriguez Lebron | 42 Maria Hotchkiss Rd, Prospect, CT 06712-1309 | Registered Nurse | ~ |
| Matthew T Comeau | 16 Maria Hotchkiss Rd Unit 1, Prospect, CT 06712-1309 | Emergency Medical Technician | 2020-01-01 ~ 2022-12-31 |
| Yvonne C Collette | 20 Maria Hotchkiss Rd, Prospect, CT 06712-1309 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Jack L Crumb | 38 Maria Hotchkiss Rd, Prospect, CT 06712-1309 | Plumbing & Piping Limited Contractor | 2015-11-01 ~ 2016-10-31 |
| Lejla Yusuf | 12 Maria Hotchkiss Rd, Prospect, CT 06712-1309 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Randall Allen | 36 Maria Hotchkiss Rd, Prospect, CT 06712-1309 | Wholesaler Salesman | 2009-04-17 ~ 2013-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie B Vinci | 5 Hickory Dr, Prospect, CT 06712 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Brian J Gomez | 11 Klein Drive, Prospect, CT 06712 | Community Health Worker | ~ |
| Robin M Sills | 11 Hickory Drive, Prospect, CT 06712 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Erica L Boisvert | 30 Putting Green Lane, Prospect, CT 06712 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mercury Fuel Service Inc · Mercury #24 Prospect | 68 Waterbury Prospect Rd, Prospect, CT 06712 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michael F Lynch | 27 Luke Street, Prospect, CT 06712 | Distribution System Operator - Class IIi | 2020-04-01 ~ 2023-03-31 |
| Michelle K Bathgate | 23 Nancy Mae Avenue, Prospect, CT 06712 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Czarina V Gillette | 7 Juggernaut Road, Prospect, CT 06712 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Karli R Griffin | 62 Royal Crest Drive, Prospect, CT 06712 | Real Estate Salesperson | ~ |
| Jacob Frank Howson | 50 Sherwood Drive, Prospect, CT 06712 | Emergency Medical Responder | ~ |
| Find all Licenses in zip 06712 | |||
| City | PROSPECT |
| Zip Code | 06712 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + PROSPECT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas M Gorman IIi | 4301 Winding Creek Rd, Manlius, NY 13104-8330 | Physical Therapist Assistant | ~ 2006-11-01 |
| Mae Therese Gioffre | 531 N Meyler St, San Pedro, CA 90731-1840 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
| Therese Doherty Miller | 7 Mannions Ln, Apt-b, Danbury, CT 06810 | Physical Therapist | 1995-08-11 ~ 1996-09-30 |
| Nicole Therese Schepps | 48 Brennan Court, Chester, NY 10918 | Physical Therapist | ~ |
| Pamela J Gorman | 40 New Place Street, Wallingford, CT 06492 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Jillian Vai | 23 Ash St Unit 1, Auburndale, MA 02466-1818 | Physical Therapist | 2012-12-01 ~ 2013-11-30 |
| M. Ashleigh Gorman | 13 Irvingdell Place, East Lyme, CT 06333 | Occupational Therapist Assistant | ~ 1997-07-31 |
| Therese S Atkins | 121 Falls Landing Road, Deep River, CT 06417 | Physical Therapist | 2010-08-01 ~ 2011-07-31 |
| Ma. Armi Therese Bala Angue | #4214 Charlemagne St., Italia 500, Las Pinas, PH 1740 | Physical Therapist | ~ |
| Jillian M Williams | 110 Delahunty Dr, Southington, CT 06489-3667 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
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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).