DANIELLE LAUREN FORMA (Credential# 1691949) is licensed (Professional Counselor Associate) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
DANIELLE LAUREN FORMA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #46.003889-ASOC. The credential type is professional counselor associate. The effective date is October 1, 2019. The expiration date is October 31, 2020. The business address is 19 Topaz Ln, Trumbull, CT 06611-3211. The current status is active.
| Licensee Name | DANIELLE LAUREN FORMA |
| Credential ID | 1691949 |
| Credential Number | 46.003889-ASOC |
| Credential Type | Professional Counselor Associate |
| Credential SubCategory | ASOC |
| Business Address |
19 Topaz Ln Trumbull CT 06611-3211 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-10-01 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-10-03 |
| Street Address | 19 TOPAZ LN |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-3211 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Blair E Ludemann Jr | 10 Topaz Ln, Trumbull, CT 06611-3211 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Nicole Romano | 27 Topaz Ln, Trumbull, CT 06611-3211 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Miguelina Gonzalez | 55 Topaz Ln, Trumbull, CT 06611-3211 | Hairdresser/cosmetician | ~ |
| Lauren M Farr | 11 Topaz Ln, Trumbull, CT 06611-3211 | Emergency Medical Technician | ~ |
| James C Torres | 71 Topaz Lane, Trumbull, CT 06611-3211 | Physician/surgeon | 2005-10-05 ~ 2006-11-30 |
| Matthew P Romano | 27 Topaz Ln, Trumbull, CT 06611-3211 | Emergency Medical Responder | 2015-10-27 ~ 2018-07-01 |
| General Federation of Women's Clubs of Connecticut Inc. District C | 20 Topaz Ln, Trumbull, CT 06611-3211 | Bazaar Permit Class 3 | 2017-10-20 ~ 2017-10-22 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley S Balestriere | 7 Sutton Place, Trumbull, CT 06611 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Filomena L Ferraro · Nicolia | 35 Skating Pond Rd, Trumbull, CT 06611 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexis Grace Shaub | 58 Chestnut Hill Road, Trumbull, CT 06611 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Maria Bivona | 5302 Main Street, Trumbull, CT 06611 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Gina M Gallo · Liquigli | 20 Red Maple Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Xuehuan Zhang | 31 Asbury Rd, Trumbull, CT 06611 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Antoinette D Senior | 38 Tanager Lane, Trumbull, CT 06611 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Solution Construction LLC | 3 Stonewall Lane, Trumbull, CT 06611 | New Home Construction Contractor | 2020-06-18 ~ 2021-09-30 |
| Gary T Sorge | 63 Limerick Road, Trumbull, CT 06611 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Melodie T Noga | 55 Moose Hill Road, Trumbull, CT 06611 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Find all Licenses in zip 06611 | |||
| City | TRUMBULL |
| Zip Code | 06611 |
| License Type | Professional Counselor Associate |
| License Type + County | Professional Counselor Associate + TRUMBULL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danielle Deramo | 175 Somerstown Rd, Ossining, NY 10562-3013 | Professional Counselor Associate | 2019-10-04 ~ 2020-09-30 |
| Lauren Caesar | 10 Cedarland Court, Cromwell, CT 06416 | Professional Counselor Associate | ~ |
| Danielle Bonsignore | 10 Main St Unit 301, Berlin, CT 06037-2661 | Professional Counselor Associate | 2019-11-27 ~ 2020-04-30 |
| Lauren Marci Barnett | 6 Hitchcock Road, Westport, CT 06880 | Professional Counselor Associate | ~ |
| Lauren Marie Gingras | 71 Scott St # 203, Meriden, CT 06450-7233 | Professional Counselor Associate | 2020-02-01 ~ 2021-01-31 |
| Lauren Mary Tallman | 56 Leonard Street, Apt B, Stamford, CT 06906 | Professional Counselor Associate | 2019-11-21 ~ 2020-11-30 |
| Luz M Lopez | 162 Schwink Dr, Meriden, CT 06450-6914 | Professional Counselor Associate | ~ |
| Jeannette L Le�n | 50a Gillotti Rd, New Fairfield, CT 06812 | Professional Counselor Associate | ~ |
| Barbara Michailides | 6 Owl Ct, Avon, CT 06001-3316 | Professional Counselor Associate | ~ |
| Mackenzie H. Fay | 178 Brookmere Dr, Fairfield, CT 06824-4516 | Professional Counselor Associate | ~ |
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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).