MICHELLE K FORMOSA
Massage Therapist


Address: 14 Birch Street, Waterford, CT 06385

MICHELLE K FORMOSA (Credential# 758676) is licensed (Massage Therapist) with Connecticut Department of Consumer Protection. The license effective date is April 6, 2004. The license expiration date date is November 30, 2005. The license status is INACTIVE.

Business Overview

MICHELLE K FORMOSA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #29.002275. The credential type is massage therapist. The effective date is April 6, 2004. The expiration date is November 30, 2005. The business address is 14 Birch Street, Waterford, CT 06385. The current status is inactive.

Basic Information

Licensee Name MICHELLE K FORMOSA
Credential ID 758676
Credential Number 29.002275
Credential Type Massage Therapist
Business Address 14 Birch Street
Waterford
CT 06385
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-03-29
Effective Date 2004-04-06
Expiration Date 2005-11-30
Refresh Date 2009-07-08

Office Location

Street Address 14 Birch Street
City Waterford
State CT
Zip Code 06385

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City Waterford
Zip Code 06385
License Type Massage Therapist
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Dataset Information

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).

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