STACY A BORUCKI
Physical Therapist Assistant


Address: 4 Dover Rd., So. Hadley, MA 01075

STACY A BORUCKI (Credential# 786197) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license expiration date date is November 1, 2006. The license status is INACTIVE.

Business Overview

STACY A BORUCKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000055. The credential type is physical therapist assistant. The expiration date is November 1, 2006. The business address is 4 Dover Rd., So. Hadley, MA 01075. The current status is inactive.

Basic Information

Licensee Name STACY A BORUCKI
Credential ID 786197
Credential Number 63.000055
Credential Type Physical Therapist Assistant
Business Address 4 Dover Rd.
So. Hadley
MA 01075
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-09-29
Expiration Date 2006-11-01
Refresh Date 2009-07-08

Office Location

Street Address 4 Dover Rd.
City So. Hadley
State MA
Zip Code 01075

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Jason T Shattuck 45 Hadley Village Rd, South Hadley, MA 01075 Licensed Practical Nurse 2020-09-01 ~ 2021-08-31
Julie-ellen Frost 20 Willimansett St, South Hadley, MA 01075 Registered Nurse ~
Jeffrey D Squire 25 Parkview Dr, South Hadley, MA 01075 Landscape Architect 2020-08-01 ~ 2021-07-31
Erin Claire Zwisler 46 Saint Kolbe Dr., Holyoke, MA 01075 Behavior Analyst ~
Tanya L Lieser 14 Mountainview Street, South Hadley, MA 01075 Registered Nurse 2020-07-01 ~ 2021-06-30
Pamela M Proulx 22 Wilson Street, South Hadley, MA 01075 Physical Therapist 2020-04-01 ~ 2021-03-31
Rebecca F Quenneville 121 The Meadows, South Hadley, MA 01075 Registered Nurse ~ 2018-02-28
Raymond L Brousseau 43 West Summit Street 10, South Hadley, MA 01075 Notary Public Appointment 2014-12-03 ~ 2019-12-31
Carla D Gaouette 103 Bardwell Street, South Hadley, MA 01075 Casino Class I Employee 2019-12-03 ~ 2020-10-31
James E Dougherty 23 Bunker Hill Street, South Hadley, MA 01075 Pharmacy Technician 2020-04-01 ~ 2021-03-31
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Competitor

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City So. Hadley
Zip Code 01075
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + So. Hadley

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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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