STACEY L GONZALEZ
Physical Therapist Assistant


Address: 1224 Mill St., E. Berlin, CT 06023

STACEY L GONZALEZ (Credential# 786364) 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

STACEY L GONZALEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000222. The credential type is physical therapist assistant. The expiration date is November 1, 2006. The business address is 1224 Mill St., E. Berlin, CT 06023. The current status is inactive.

Basic Information

Licensee Name STACEY L GONZALEZ
Credential ID 786364
Credential Number 63.000222
Credential Type Physical Therapist Assistant
Business Address 1224 Mill St.
E. Berlin
CT 06023
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-02-24
Expiration Date 2006-11-01
Refresh Date 2009-07-08

Office Location

Street Address 1224 Mill St.
City E. Berlin
State CT
Zip Code 06023

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Carla S Follacchio 85 Main St, East Berlin, CT 06023 Registered Nurse 2020-09-01 ~ 2021-08-31
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Zarrella Demolition LLC 392 Berlin St, East Berlin, CT 06023 Demolition Contractor 2020-07-01 ~ 2021-06-30
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Competitor

Search similar business entities

City E. Berlin
Zip Code 06023
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + E. Berlin

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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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