FERN R TOBACK (Credential# 690130) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is July 10, 2000. The license expiration date date is July 31, 2001. The license status is INACTIVE.
FERN R TOBACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.004549. The credential type is physical therapist. The effective date is July 10, 2000. The expiration date is July 31, 2001. The business address is 70-50 Austin Street, Forest Hills, NY 11375. The current status is inactive.
| Licensee Name | FERN R TOBACK |
| Credential ID | 690130 |
| Credential Number | 14.004549 |
| Credential Type | Physical Therapist |
| Business Address |
70-50 Austin Street Forest Hills NY 11375 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1992-05-05 |
| Effective Date | 2000-07-10 |
| Expiration Date | 2001-07-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 70-50 AUSTIN STREET |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Berta Shchegol | 110-24 67th Drive, Forest Hills, NY 11375 | Dentist | ~ |
| Lawrence M Rosenbloom | 110-11 Queens Blvd., Forest Hills, NY 11375 | Architect | 2020-08-01 ~ 2021-07-31 |
| Beatrice E Hunt | 43 Exeter St, Forest Hills, NY 11375 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Elena Chachik | 108-25 72 Ave 3b, Forest Hills, NY 11375 | Dentist | 2020-06-10 ~ 2021-03-31 |
| Lina F Spartos | 99-15 Ascan Ave., Forest Hills, NY 11375 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Isabella Mihaelson | 100-10 67th Rd #4-g, Forest Hills, NY 11375 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Co B Quang | 102-30 66th Road #3a, Forest Hills, NY 11375 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Benjamin V Katayev · Vladislav | 110-35 67 Drive, Forest Hills, NY 11375 | Dentist | 2020-06-01 ~ 2021-05-31 |
| Yulian Aminov | 112-11 69th Avenue, Forest Hill, NY 11375 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Laura Marilyn Soriano | 7714 113th St, Forest Hills, NY 11375 | Professional Counselor | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 11375 | |||
| City | FOREST HILLS |
| Zip Code | 11375 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + FOREST HILLS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fern M Darling | 877 Auburnville Way Apt F6, Whitman, MA 02382-1755 | Physical Therapist | 2011-08-01 ~ 2012-07-31 |
| Emily C Durant | 2 Fern Ave Apt 11, Wallingford, CT 06492-6513 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Nicole Lynn Fern | 12 Ridge Rd, Burlington, CT 06013-1413 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Garrett F Diamond | 614 Fern St, West Hartford, CT 06107-1417 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Kerry M Sheedy | 6 Fern Drive, Walpole, MA 02081 | Physical Therapist | 1998-11-10 ~ 2000-01-31 |
| Michelle M Iassogna | 13 Fern St, Milford, CT 06460-5634 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
| Catherine E Wilson | 29 Fern St, West Haven, CT 06516-3614 | Physical Therapist Assistant | 2020-05-01 ~ 2021-04-30 |
| Mark W Amato | 14-a Fern Court, Fishkill, NY 12524 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| Maureen S Colon | 207 Fern St, West Hartford, CT 06119-1126 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
| Ellen L Franks | 237 Fern St Apt 115e, West Hartford, CT 06119-1192 | Physical Therapist | 2013-01-01 ~ 2013-12-31 |
Please comment or provide details below to improve the information on FERN R TOBACK.
| 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).