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.
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.
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 |
Street Address | 4 Dover Rd. |
City | So. Hadley |
State | MA |
Zip Code | 01075 |
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 |
Find all Licenses in zip 01075 |
City | So. Hadley |
Zip Code | 01075 |
License Type | Physical Therapist Assistant |
License Type + County | Physical Therapist Assistant + So. Hadley |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stacy L James | 84 Roosevelt Ave. Ext., Preston, CT 06365 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
Stacy J Todisco | 36 Leonard Pl, Trumbull, CT 06611-4330 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
Stacy Marie Rivers | 100 Ben St, Bristol, CT 06010-3228 | Physical Therapist Assistant | 2020-07-01 ~ 2021-06-30 |
Ronald Borucki · Borucki Construction | 29 Edgewood Ave, Ansonia, CT 06401-1023 | Home Improvement Contractor | 2015-04-13 ~ 2015-11-30 |
Ronald J Borucki · Borucki Construction | 29 Edgewood Ave, Ansonia, CT 06401-1023 | Home Improvement Contractor | 2019-12-10 ~ 2020-11-30 |
Linda J Stacy | 257 Bumstead Road, Monson, MA 01057 | Occupational Therapist Assistant | ~ 1995-07-31 |
Stacy M Oliveira | 27 Castle St, Springfield, MA 01118-2123 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
Stacy-ann T Smith | 54 Sunnyfield Dr, Windsor, CT 06095-3258 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
Stacy M Trice | 1130 E Lebanon Rd, Dover, DE 19901-5837 | Physical Therapist | 2009-09-01 ~ 2010-09-30 |
Stacy Smith Wagner | 382 Bartlett Dr, Madison, CT 06443-1785 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
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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).