AGNIESZKA FORMEJSTER (Credential# 786331) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 7, 2001. The license expiration date date is November 1, 2006. The license status is INACTIVE.
AGNIESZKA FORMEJSTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000189. The credential type is physical therapist assistant. The effective date is February 7, 2001. The expiration date is November 1, 2006. The business address is 61 Taylor St., Chicopee, MA 01020. The current status is inactive.
Licensee Name | AGNIESZKA FORMEJSTER |
Credential ID | 786331 |
Credential Number | 63.000189 |
Credential Type | Physical Therapist Assistant |
Business Address |
61 Taylor St. Chicopee MA 01020 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2001-02-07 |
Effective Date | 2001-02-07 |
Expiration Date | 2006-11-01 |
Refresh Date | 2009-07-08 |
Street Address | 61 Taylor St. |
City | Chicopee |
State | MA |
Zip Code | 01020 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stephanie Marie Melao-nogueira | 82 Frink St, Chicopee, MA 01020 | Esthetician | ~ |
Jill E Remillard | 129 Longwood Drive, Chicopee, MA 01020 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Alia Helena Perez | 79 Oakridge St, Chicopee, MA 01020 | Esthetician | ~ |
Michelle Bressette | 26 Edbert Street, Chicopee, MA 01020 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Donna M Rowe-scott | 126 Labelle Dr, Chicopee, MA 01020 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Kim Pt Pham | 69 Kaveney Street, Chicopee, MA 01020 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Theresa L Williams | 142 Casey Drive, Chicopee, MA 01020 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Kaylie E. Dygon | 92 Oakwood Street, Chicopee, MA 01020 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
Tech Roofing Service Inc | 896 Sheridan Street, Chicopee, MA 01020 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
Dawn S Cantin | 241 College Street, Chicopee, MA 01020 | Dental Hygienist | 2020-04-01 ~ 2021-03-31 |
Find all Licenses in zip 01020 |
City | Chicopee |
Zip Code | 01020 |
License Type | Physical Therapist Assistant |
License Type + County | Physical Therapist Assistant + Chicopee |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Agnieszka E Wojciechowski | 34 Westchester Ave # A, Pound Ridge, NY 10576-2147 | Physical Therapist Assistant | ~ |
Agnieszka Budz | 38 Robin Rd, Farmington, CT 06032-2511 | Physical Therapist Assistant | 2020-05-01 ~ 2021-04-30 |
One A Any | 123, Avon, CT 06001 | Physical Therapist Assistant | 2001-01-31 ~ 2002-01-01 |
Dollyann Echevarria | Carolina, PR 00983 | Physical Therapist Assistant | ~ |
Antony Pinto | Bronx, NY 10461 | Physical Therapist Assistant | ~ |
Amy C Waleski | 13 Eastford Rd., Southbridge, MA 01550 | Physical Therapist Assistant | 2001-02-21 ~ 2006-11-01 |
Carol Klitzke | Po Box 829, Avon, CT 06001-0829 | Physical Therapist Assistant | ~ 2006-11-01 |
Jan Brezovsky | 438 Henry Ave., Stratford, CT 06614 | Physical Therapist Assistant | 2017-05-01 ~ 2018-04-30 |
Lisa A Costanzo | Po. Box 825, Georgetown, MA 01833 | Physical Therapist Assistant | ~ 2006-11-01 |
Tonya R Priese | 2526 Ray Ave, New Era, MI 49446-9641 | Physical Therapist Assistant | 2017-05-01 ~ 2018-04-30 |
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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).