MARILYN J VAN (Credential# 687964) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2014. The license expiration date date is October 31, 2015. The license status is INACTIVE.
MARILYN J VAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.001417. The credential type is physical therapist. The effective date is November 1, 2014. The expiration date is October 31, 2015. The business address is 41 Meiklem St, Forestville, CT 06010. The current status is inactive.
| Licensee Name | MARILYN J VAN |
| Credential ID | 687964 |
| Credential Number | 14.001417 |
| Credential Type | Physical Therapist |
| Business Address |
41 Meiklem St Forestville CT 06010 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1972-03-16 |
| Effective Date | 2014-11-01 |
| Expiration Date | 2015-10-31 |
| Refresh Date | 2016-02-03 |
| Street Address | 41 MEIKLEM ST |
| City | FORESTVILLE |
| State | CT |
| Zip Code | 06010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Skyler Van | 41 Meiklem St, Forestville, CT 06010 | Pharmacy Intern | 2007-12-11 ~ 2011-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | FORESTVILLE |
| Zip Code | 06010 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + FORESTVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marilyn A Boehm | 28 Crabapple Rd, Windsor, CT 06095 | Physical Therapist | 2014-04-01 ~ 2015-03-31 |
| Marilyn M Duchon | 52 Dickenson Rd, Marlborough, CT 06447 | Physical Therapist | 2009-04-21 ~ 2010-06-30 |
| Marilyn J Berliner | P.o. Box 205, Essex, CT 06426 | Physical Therapist Assistant | 2013-03-01 ~ 2014-02-28 |
| Marilyn L Ludden | C/o Aramco, Dhahran, 31311 | Physical Therapist | 2000-07-11 ~ 2001-07-31 |
| Marilyn R Mcgowan | 28 Goodridge, Redding, CT 06896 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Marilyn P Langdon | 478 E Rubens Dr, Nokomis, FL 34275 | Physical Therapist | 2003-06-25 ~ 2004-03-31 |
| Marilyn E Badger | 30 Kinnear Ave, Newington, CT 06111 | Physical Therapist | 1992-08-26 ~ 1993-08-31 |
| Marilyn K Marchant | 22 Shipman Dr, Glastonbury, CT 06033 | Physical Therapist | 2002-02-13 ~ 2003-03-31 |
| Marilyn Mcquade | 109 Overlook Ave, Fairfield, CT 06824-4701 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Marilyn R Dupont | 15 Pine Hill Rd, Hollis, NH 03049 | Physical Therapist | 2001-10-23 ~ 2002-07-31 |
Please comment or provide details below to improve the information on MARILYN J VAN.
| 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).