STACY L FORD (Credential# 778162) is licensed (Athletic Trainer) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2012. The license expiration date date is October 31, 2013. The license status is INACTIVE.
STACY L FORD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #54.000363. The credential type is athletic trainer. The effective date is November 1, 2012. The expiration date is October 31, 2013. The business address is 81 Fairy Lake Rd, Salem, CT 06420-4056. The current status is inactive.
| Licensee Name | STACY L FORD |
| Credential ID | 778162 |
| Credential Number | 54.000363 |
| Credential Type | Athletic Trainer |
| Business Address |
81 Fairy Lake Rd Salem CT 06420-4056 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2006-11-08 |
| Effective Date | 2012-11-01 |
| Expiration Date | 2013-10-31 |
| Refresh Date | 2014-07-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1040746 | 29.007022 | Massage Therapist | 2011-12-13 | 2011-12-13 - 2013-10-31 | INACTIVE |
| Street Address | 81 FAIRY LAKE RD |
| City | SALEM |
| State | CT |
| Zip Code | 06420-4056 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Debra I Delorimiere | 322 Round Hill Road, Salem, CT 06420 | Real Estate Salesperson | ~ |
| Darci J Smith | 25 Salem Ridge Drive, Salem, CT 06420 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Pamela Minella | 135 Sullivan Rd., Salem, CT 06420 | Water Treatment Plant Operator - Class Iv | 2020-04-01 ~ 2023-03-31 |
| Alfreda Shapere · Bingham | 170 Darling Rd, Salem, CT 06420 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Paul A Pudimat Md | 61 Emerald Glen Lane, Salem, CT 06420 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Thomas J Butcher | 248 Norwich Road, Salem, CT 06420 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Destiny Faye Henkel | 65 Horse Pond Rd, Salem, CT 06420 | Master's Level Social Worker - Temporary Permit | 2020-06-12 ~ 2020-09-13 |
| Kevin R Fennell | 105 Witter Road, Salem, CT 06420 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Scott D Pellerin | 301 Rattlesnake Ledge Road, Salem, CT 06420 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Salem Prime Cuts Inc · John Fusaro Jr | 12 New London Rd, Salem, CT 06420 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06420 | |||
| City | SALEM |
| Zip Code | 06420 |
| License Type | Athletic Trainer |
| License Type + County | Athletic Trainer + SALEM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacy M Ciarleglio | 995 Hopmeadow St, Simsbury, CT 06070-1812 | Athletic Trainer | 2019-10-01 ~ 2020-09-30 |
| Stacy L Garceau | 1 Stonegate Cir, Higganum, CT 06441-4277 | Athletic Trainer | 2020-04-01 ~ 2021-03-31 |
| Julie R Hunnum | CT | Athletic Trainer | ~ |
| Ian C Scruggs | 102 Stagecoach Rd, Woodbury, CT 06798-2727 | Athletic Trainer | 2012-04-01 ~ 2013-03-31 |
| Lisa G Witham | Po Box 42, Alton, NH 03809-0042 | Athletic Trainer | 2020-02-01 ~ 2021-01-31 |
| Christina L. Pelizzoni | 106 E 2nd St, Alburtis, PA 18011-5037 | Athletic Trainer | 2019-05-06 ~ 2019-08-31 |
| Nicholas P Leimbach | Po Box 602, Lakeville, CT 06039-0602 | Athletic Trainer | 2020-05-01 ~ 2021-04-30 |
| Kristal Terpstra | 21 Deerfield Rd # B, Raymond, NH 03077-1416 | Athletic Trainer | ~ |
| Jay J Mistry | 52 Briscoe Ter, Hazlet, NJ 07730-1128 | Athletic Trainer | 2014-06-01 ~ 2015-05-31 |
| John L. Pryor | 147 Fox Trl, Coventry, CT 06238-2210 | Athletic Trainer | 2014-04-01 ~ 2015-03-31 |
Please comment or provide details below to improve the information on STACY L FORD.
| 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).