ERIC B BOUCHARD (Credential# 786198) 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.
ERIC B BOUCHARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000056. The credential type is physical therapist assistant. The expiration date is November 1, 2006. The business address is 156 Wilson Street, Bridgeport, CT 06605. The current status is inactive.
| Licensee Name | ERIC B BOUCHARD |
| Credential ID | 786198 |
| Credential Number | 63.000056 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
156 Wilson Street Bridgeport CT 06605 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1995-11-09 |
| Expiration Date | 2006-11-01 |
| Refresh Date | 2009-07-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 866255 | 70.940475 | Emergency Medical Technician | 1994-01-20 | - 1996-04-01 | INACTIVE |
| Street Address | 156 Wilson Street |
| City | Bridgeport |
| State | CT |
| Zip Code | 06605 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Medina | 102 Clinton Ave., Bridgeport, CT 06605 | Medication Administration Certification | ~ |
| Maria Etelvina Lema | 20 Orland St, Bridgeport, CT 06605 | Nail Technician | ~ |
| Michelle Maldonado M�ndez | 182 Monroe St, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Latavia Henderson | 178 Lewis Street, Bridgeport, CT 06605 | Medication Administration Certification | 2020-06-08 ~ 2022-06-07 |
| Onedu Nnenna Benson | 285 Laurel Avenue, Bridgeport, CT 06605 | Licensed Practical Nurse | ~ |
| Gregory A Korth | 137 Fayerweather Ter, Bridgeport, CT 06605 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kim Anh Ho | 108 Wood Avenue, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Maria-elena Melchor Mora | 653 Colorado Ave, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jennifer Nelson | 148 St Stephens Road, Bridgeport, CT 06605 | Esthetician | ~ |
| Santa Fuel Inc | 133 Admiral St, Bridgeport, CT 06605 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06605 | |||
| City | Bridgeport |
| Zip Code | 06605 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + Bridgeport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eric M Mola | 120 Ralph Rd, Manchester, CT 06040-6325 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| Eric J Kelly | 146 Tedford Dr, Longmeadow, MA 01106-3330 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
| Larisa Tsidulko | 91 Eric Dr, Palm Coast, FL 32164-6299 | Physical Therapist Assistant | ~ |
| Eric Wade | 720 Mix Ave Unit 315, Hamden, CT 06514-2295 | Physical Therapist Assistant | 2020-05-01 ~ 2021-04-30 |
| Eric Christopher Johnston | 41 Nanni Dr, Winsted, CT 06098-2106 | Physical Therapist Assistant | 2019-11-01 ~ 2020-10-31 |
| Eric C Dyson | 6 Wintergreen Dr, Quaker Hill, CT 06375-1436 | Physical Therapist Assistant | 2020-07-01 ~ 2021-06-30 |
| Eric J Terzini | 11 Hill Farm Way, Barkhamsted, CT 06063-3327 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
| Eric A Perez | 41 Knollwood Drive, Wolcott, CT 06716 | Physical Therapist Assistant | 2019-11-01 ~ 2020-10-31 |
| Eric Lee Willey | 169 Silas Ridge Ln, Ararat, NC 27007-8466 | Physical Therapist Assistant | 2020-03-03 ~ 2020-04-30 |
| Eric T Lunt | 134 Rising Trail Dr, Middletown, CT 06457-1629 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
Please comment or provide details below to improve the information on ERIC B BOUCHARD.
| 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).