KRISTIN L BERGENTY (Credential# 693211) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
KRISTIN L BERGENTY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.007636. The credential type is physical therapist. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 48 Forest Hills Dr, Farmington, CT 06032-3017. The current status is active.
| Licensee Name | KRISTIN L BERGENTY |
| Credential ID | 693211 |
| Credential Number | 14.007636 |
| Credential Type | Physical Therapist |
| Business Address |
48 Forest Hills Dr Farmington CT 06032-3017 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2005-01-21 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-12-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 786900 | 63.000759 | Physical Therapist Assistant | 2003-10-07 | 2003-10-07 - 2006-11-01 | INACTIVE |
| Street Address | 48 FOREST HILLS DR |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-3017 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlin Mcginnis | 46 Forest Hills Dr, Farmington, CT 06032-3017 | Licensed Clinical Social Worker | 2020-06-11 ~ 2021-04-30 |
| Robin Pavano | 60 Forest Hills Dr, Farmington, CT 06032-3017 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Toya C Wolo | 62 Forest Hills Dr, Farmington, CT 06032-3017 | Respiratory Care Practitioner | 2016-10-01 ~ 2017-09-30 |
| Anita M Brucker · Wendell | 54 Forest Hills Dr, Farmington, CT 06032-3017 | Radiographer | 2013-07-01 ~ 2014-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | FARMINGTON |
| Zip Code | 06032 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kara M Bergenty | 250 3rd Ave, Stratford, CT 06615-7734 | Physical Therapist | 2016-07-28 ~ 2016-12-31 |
| John A Bergenty · John A Bergenty Const Co | 18 Betsy Road, Plainville, CT 06062 | Home Improvement Contractor | 2009-12-01 ~ 2010-11-30 |
| Kristin Deblois | P.o. Box 336, Danbury, NH 03230 | Physical Therapist | 2001-10-16 ~ 2002-11-30 |
| Kristin M Cabrini | 42 Mt Tom Avenue, Holyoke, MA 01040 | Physical Therapist | 2007-05-25 ~ 2008-06-30 |
| Kristin K Cresta | 326 Chamberlain Hwy, Berlin, CT 06037-1926 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Kristin Brower | 18 Cougarstone Terrace Sw, T2S 3B9 | Physical Therapist | 2003-12-03 ~ 2004-08-31 |
| Kristin T Godiksen | 2 Shore Dr, Charlestown, RI 02813-2215 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Kristin J Hickey | 380 Hop River Rd, Coventry, CT 06238-3234 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Kristin L Copeland | 33 Longmeadow Rd, Trumbull, CT 06611-2536 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Kristin L Moynihan | 350 Massachusetts Ave, Lexington, MA 02420-4010 | Physical Therapist | 2012-03-01 ~ 2013-02-28 |
Please comment or provide details below to improve the information on KRISTIN L BERGENTY.
| 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).