CARLA N ANTOLAK (Credential# 692704) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2011. The license expiration date date is September 30, 2012. The license status is INACTIVE.
CARLA N ANTOLAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.007129. The credential type is physical therapist. The effective date is October 1, 2011. The expiration date is September 30, 2012. The business address is 238 Harvard Dr, Hackettstown, NJ 07840-1661. The current status is inactive.
| Licensee Name | CARLA N ANTOLAK |
| Credential ID | 692704 |
| Credential Number | 14.007129 |
| Credential Type | Physical Therapist |
| Business Address |
238 Harvard Dr Hackettstown NJ 07840-1661 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2002-05-30 |
| Effective Date | 2011-10-01 |
| Expiration Date | 2012-09-30 |
| Refresh Date | 2013-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 777895 | 54.000096 | Athletic Trainer | 2006-09-25 | 2009-09-16 - 2010-09-30 | INACTIVE |
| Street Address | 238 HARVARD DR |
| City | HACKETTSTOWN |
| State | NJ |
| Zip Code | 07840-1661 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey M Culbert | 484 Schooleys Mt Rd, Hackettstown, NJ 07840 | Chiropractor | 2020-08-01 ~ 2021-07-31 |
| Wendy Anne Gutkin | 59 Bennington Square, Hackettstown, NJ 07840 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
| Frank A. Klump | 17 Blazingstar Way, Hackettstown, NJ 07840 | Dentist | 2020-02-01 ~ 2021-01-31 |
| Maria K Fitzpatrick | 23 Kim Lane, Hackettstown, NJ 07840 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Patricia Buck | 19 Bellflower Ct, Hackettstown, NJ 07840 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Lindsey Severud | 33 Barn Owl Drive, Hackettstown, NJ 07840 | Registered Nurse | 2017-04-03 ~ 2018-04-30 |
| Angelina Pagano | 11 Heron Drive, Hackettstown, NJ 07840 | Emergency Medical Technician | ~ |
| Bruce M Mccutcheon | 44 Barn Owl Dr, Hackettstown, NJ 07840 | Professional Engineer | 2012-02-01 ~ 2013-01-31 |
| Daniel Windt | 29 Mallard Drive, Hackettstown, NJ 07840 | Medical Marijuana Producer Employee | 2014-11-18 ~ 2015-11-18 |
| Richard A Jackson · Belco Pollution Cntrl Corp | 21 Shelly Dr, Hackettstown, NJ 07840 | Professional Engineer | 1800-12-27 ~ 1995-01-31 |
| Find all Licenses in zip 07840 | |||
| City | HACKETTSTOWN |
| Zip Code | 07840 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + HACKETTSTOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carla I Youssef | 53 Oakland Dr, Trumbull, CT 06611-1911 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Carla K Richardson | Po Box 37121, Tallahassee, FL 32308 | Physical Therapist | 2010-06-01 ~ 2011-05-31 |
| Carla Cuccia | 33 Long View Dr, Simsbury, CT 06070-2643 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Carla T Tighe | 5208 Case St, Middlebury, VT 05753-9029 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
| Carla O Reed | 46218 Allsbrook Pl, Sterling, VA 20165-7307 | Physical Therapist | 2015-08-01 ~ 2016-07-31 |
| Carla Vaccarello | 100 Gainsborg Ave E, West Harrison, NY 10604-2640 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Carla J Steinberg | 4760 Leyden Way, Ellicott City, MD 21042 | Physical Therapist | 2011-03-01 ~ 2012-02-29 |
| Laura J French · Downey | 7 Carla Ter, Pine Plains, NY 12567-5101 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Carla A Fleck | 1147 East St. North, Suffield, CT 06078 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
| Maria Carla La Putt | 2116 Cades Spirit Bend, Austin, TX 78738 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
Please comment or provide details below to improve the information on CARLA N ANTOLAK.
| 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).