ABIGAIL MARY FAGERHOLM (Credential# 1649755) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
ABIGAIL MARY FAGERHOLM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.012344. The credential type is physical therapist. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 6 Mountain Laurel Ln, Sandy Hook, CT 06482-1529. The current status is active.
Licensee Name | ABIGAIL MARY FAGERHOLM |
Credential ID | 1649755 |
Credential Number | 14.012344 |
Credential Type | Physical Therapist |
Business Address |
6 Mountain Laurel Ln Sandy Hook CT 06482-1529 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-08-05 |
Effective Date | 2020-02-01 |
Expiration Date | 2021-01-31 |
Refresh Date | 2020-02-05 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1658176 | 14.012203-TEMP | PT Temporary Permit | 2019-05-17 | 2019-05-17 - 2019-08-05 | INACTIVE |
Street Address | 6 MOUNTAIN LAUREL LN |
City | SANDY HOOK |
State | CT |
Zip Code | 06482-1529 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Thomas Joseph Mulrane | 22 Mountain Laurel Ln, Sandy Hook, CT 06482-1529 | Honey Bee Registration | 2020-05-11 ~ 2020-09-30 |
Heather Azzairto | 4 Mountain Laurel Ln, Sandy Hook, CT 06482-1529 | Hairdresser/cosmetician | 2019-12-09 ~ 2021-10-31 |
Brian Kuruc | 14 Mountain Laurel Ln, Sandy Hook, CT 06482-1529 | Athletic Trainer | 2019-08-21 ~ 2020-07-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Catherine A D'aquila | 4 Fleetwood Drive, Sandy Hook, CT 06482 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Deanna M Galanis | 9 Riverside Road, Sandy Hook, CT 06482 | Eyelash Technician | 2020-06-26 ~ 2022-02-28 |
Bruce J Kerns | 42 Great Quarter Rd, Sandy Hook, CT 06482 | Veterinarian | 2020-06-01 ~ 2021-05-31 |
Nancy B Sheehan | 6 Clearview Drive, Sandy Hook, CT 06482 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
Elisa A Keenan | 8 Farview Dr, Sandy Hook, CT 06482 | Licensed Practical Nurse | 2020-04-01 ~ 2021-03-31 |
Children's Adventure Center Inc. | 14 Riverside Road, Sandy Hook, CT 06482 | Public Charity | 2020-12-01 ~ 2021-11-30 |
Linda J Wallace | 80 Walnut Tree Hill, Sandy Hook, CT 06482 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Gina E Long | 35 Poplar Drive, Sandy Hook, CT 06482 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
Phillip M Lombardo | 42 Berkshire Road, Sandy Hook, CT 06482 | Real Estate Salesperson | 2020-06-15 ~ 2021-05-31 |
Robert D Mitchell | 71 Osborn Hill Rd, Sandy Hook, CT 06482 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06482 |
City | SANDY HOOK |
Zip Code | 06482 |
License Type | Physical Therapist |
License Type + County | Physical Therapist + SANDY HOOK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Abigail Boadu Solomon | CT | Physical Therapist | ~ |
Abigail C Co-sy | 2 Holly Pl, Monroe, CT 06468-1423 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
Abigail Bloom | 70 Old Town Rd, Vernon, CT 06066 | Physical Therapist | 1997-10-08 ~ 1998-11-30 |
Abigail A Mcdowell | 476 Lake Ave, Greenwich, CT 06830-3851 | Physical Therapist | 2019-06-01 ~ 2020-05-31 |
Abigail J Smith | 38 Klarman Dr, Hamden, CT 06518-2110 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
Abigail Mulligan | 55 East Eldridge St, Manchester, CT 06040 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
Abigail E Hull-gulotta | 38 Tyler Hill Rd, Naugatuck, CT 06770-3193 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
Abigail E Thorpe | 240 Laurel Hill Dr, South Burlington, VT 05403-7381 | Physical Therapist | 2009-09-01 ~ 2010-08-31 |
Abigail-france L Llanos | 15635 Indian Queen Dr, Odessa, FL 33556-3012 | Physical Therapist | 2013-03-14 ~ 2013-07-31 |
Abigail E Orbea | 109 Mill Pond Dr, South Windsor, CT 06074-3544 | Physical Therapist Assistant | 2016-08-01 ~ 2017-07-31 |
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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).