JEFFREY L FORMAN (Credential# 757320) is licensed (Massage Therapist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2018. The license expiration date date is September 30, 2020. The license status is ACTIVE.
JEFFREY L FORMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #29.000913. The credential type is massage therapist. The effective date is October 1, 2018. The expiration date is September 30, 2020. The business address is 459 Prospect St, Torrington, CT 06790. The current status is active.
| Licensee Name | JEFFREY L FORMAN |
| Credential ID | 757320 |
| Credential Number | 29.000913 |
| Credential Type | Massage Therapist |
| Business Address |
459 Prospect St Torrington CT 06790 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1994-06-24 |
| Effective Date | 2018-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2018-12-03 |
| Street Address | 459 PROSPECT ST |
| City | Torrington |
| State | CT |
| Zip Code | 06790 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Howard Cogswell | 54 Birden St, Torrington, CT 06790 | Emergency Medical Technician | 2018-02-28 ~ 2020-06-30 |
| Maria Maclovia Vijay | 45 Cameron Street, Torrington, CT 06790 | Nail Technician | ~ |
| Tania Rosa Yupa | 141 Oak Av, Torrington, CT 06790 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Maria Teresa Aguaiza | 518 Circle Dr., Torrington, CT 06790 | Nail Technician | ~ |
| Gail A Langlois | 170 Hoerle Blvd, Torrington, CT 06790 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Petricon's Torrington Pharmacy | 110 East Main St, Torrington, CT 06790 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Danielle L Jolicoeur | 25 Millard Street, Torrington, CT 06790 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Elizabeth Etta Begley | 1268 East Main St., Torrington, CT 06790 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Margaret A Gumbs | 415 Hillandale Blvd., Torrington, CT 06790 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Apex Community Care, Inc. | 601 South Main St. Unit #3, Torrington, CT 06790 | Psychiatric Outpatient Clinic | 2020-06-19 ~ 2023-03-31 |
| Find all Licenses in zip 06790 | |||
| City | Torrington |
| Zip Code | 06790 |
| License Type | Massage Therapist |
| License Type + County | Massage Therapist + Torrington |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Richard Forman · Forman Vineyard | 1501 Big Rock Rd, Saint Helena, CA 94574-9613 | Out of State Winery | 2015-04-01 ~ 2016-03-31 |
| Ce Forman T V & Applian · Forman T V & Appliance | E Liberty St, Chester, CT 06412 | Tv & Radio Service Dealer | ~ |
| Jeffrey F Verderber | Po Box 304, Enfield, CT 06083-0304 | Massage Therapist | 2011-01-14 ~ 2012-09-30 |
| Jeffrey Taylor | 328 Bassett St, New Haven, CT 06511-1021 | Massage Therapist | 2020-01-01 ~ 2021-12-31 |
| Jeffrey J Purtell | 130 Highland Ave, Hamden, CT 06518-2803 | Massage Therapist | 2019-07-23 ~ 2021-04-30 |
| Charlotte O Griffin | 7 Jeffrey St, Danbury, CT 06810 | Massage Therapist | 2018-07-01 ~ 2020-06-30 |
| Jeffrey D. Allen | 15 Joyce Ave, Derby, CT 06418-1049 | Massage Therapist | 2019-02-01 ~ 2021-01-31 |
| Jeffrey A Kelly | 19 Fernwood Dr, Bolton, CT 06043-7409 | Massage Therapist | 2013-08-26 ~ 2015-08-31 |
| Jeffrey S Shuman | 49 Rappallo Ave, Middletown, CT 06457-2719 | Massage Therapist | 2020-01-01 ~ 2021-12-31 |
| Jeffrey C Kennedy | 77 High St, Ashaway, RI 02804-1507 | Massage Therapist | 2013-03-25 ~ 2015-11-30 |
Please comment or provide details below to improve the information on JEFFREY L FORMAN.
| 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).