MIKHAIL S KLAKOTSKIY (Credential# 1666523) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MIKHAIL S KLAKOTSKIY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.012324. The credential type is physical therapist. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 420 Main St Apt 62, Agawam, MA 01001-1844. The current status is active.
Licensee Name | MIKHAIL S KLAKOTSKIY |
Credential ID | 1666523 |
Credential Number | 14.012324 |
Credential Type | Physical Therapist |
Business Address |
420 Main St Apt 62 Agawam MA 01001-1844 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-08-01 |
Effective Date | 2020-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-01-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1116903 | 63.001297 | Physical Therapist Assistant | 2012-12-06 | 2019-03-01 - 2020-02-29 | ACTIVE IN RENEWAL |
1117100 | 63.001282-TEMP | PTA Temporary Permit | 2012-08-16 | 2012-08-16 - 2012-12-06 | INACTIVE |
Street Address | 420 MAIN ST APT 62 |
City | AGAWAM |
State | MA |
Zip Code | 01001-1844 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Pamela J Freeman Brown | 1324 Main Street, Agawam, MA 01001 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Ashley Erin Dimauro | 25 Deer Run Road, Agawam, MA 01001 | Registered Nurse | ~ |
Lou A Fitch | 60 Mallard Circle, Agawam, MA 01001 | Notary Public Appointment | 2015-04-01 ~ 2020-03-31 |
Maryanne Catanzaro · Catanzaro,leone | 16 Channell Drive, Agawam, MA 01001 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Sunhee Hwang | 54 River Rd, Agawam, MA 01001 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-17 ~ 2021-10-31 |
Taehoon An | 58 River Rd, Agawam, MA 01001 | Nail Technician | 2020-06-17 ~ 2022-05-31 |
Ji Hye Safarik | 119 Albert St, Agawam, MA 01001 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-16 ~ 2022-02-28 |
Consuelo Ana Leblanc | 39 Hunting Lane, Agawam, MA 01001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Sangkeun Yi | 322 Meadow St, Agwam, MA 01001 | Nail Technician | 2020-06-12 ~ 2022-06-30 |
Kyunghee Koh | 56 River Road, Agawam, MA 01001 | Nail Technician | 2020-06-12 ~ 2021-08-31 |
Find all Licenses in zip 01001 |
City | AGAWAM |
Zip Code | 01001 |
License Type | Physical Therapist |
License Type + County | Physical Therapist + AGAWAM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mikhail | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2017-10-06 ~ 2020-10-05 |
Vlad Klakotskiy | 94 Brandon Ave, Springfield, MA 01119-1104 | Asbestos Abatement Supervisor | 2014-07-07 ~ 2015-07-31 |
Mikhail V Oet | 6 Milton Ave, Chatham, NJ 07928 | Architect | 2001-04-23 ~ 2001-07-31 |
Peter B Mikhail | 199 Oak St, Pembroke, MA 02359 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Abe Mikhail | 14 Monroe St, New York, NY 10002 | Lead Inspector | ~ 1998-05-31 |
Ashraf Mikhail | 20 Fern Dr, Roslyn, NY 11576-2202 | Physician/surgeon | 2014-02-25 ~ 2014-11-30 |
Mikhail Y Tsesis | 102 Oakwood Ave, West Hartford, CT 06119 | Dentist | 2020-07-01 ~ 2021-06-30 |
Afaf R Mikhail | 726 Demott Ct, Westbury, NY 11590 | Physician/surgeon | 1994-05-02 ~ 1995-02-28 |
Mikhail Ilizarov Dds | Advanced Dentistry, Stamford, CT 06905 | Dentist | 2000-06-12 ~ 2001-07-31 |
Peter Mikhail | 48 Fallon Avenue, Elmont, NY 11003 | Pharmacist | ~ |
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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).