FREDERICK J MACMULLEN (Credential# 786498) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
FREDERICK J MACMULLEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000356. The credential type is physical therapist assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 289 N Main St, Southington, CT 06489-2525. The current status is active.
| Licensee Name | FREDERICK J MACMULLEN |
| Credential ID | 786498 |
| Credential Number | 63.000356 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
289 N Main St Southington CT 06489-2525 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2000-12-21 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-01 |
| Street Address | 289 N MAIN ST |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489-2525 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nadia M Arrington | 287 N Main St, Southington, CT 06489-2525 | Hairdresser/cosmetician | 2019-07-01 ~ 2021-06-30 |
| Jennifer Marquis · Scatena & Son Custom Paint & Home Improvements | 297 N Main St, Southington, CT 06489-2525 | Home Improvement Contractor | 2011-02-18 ~ 2011-11-30 |
| John J Mangan | 249 N Main St, Southington, CT 06489-2525 | Plumbing & Piping Limited Journeyperson | 2014-01-17 ~ 2014-10-31 |
| Mysty D Rogers | 297 N Main St Apt 1, Southington, CT 06489-2525 | Registered Nurse | 2011-11-01 ~ 2012-10-31 |
| Michael J Driscoll | 239 North Main St, Southington, CT 06489-2525 | Professional Engineer | ~ |
| Della Vecchia Funeral Home | 211 N Main St, Southington, CT 06489-2525 | Funeral Home | 2020-01-15 ~ 2020-06-30 |
| Dellavecchia Funeral Home | 211 N Main St, Southington, CT 06489-2525 | Funeral Home | 2019-07-01 ~ 2020-01-15 |
| Theartofyum LLC | 287 N Main St, Southington, CT 06489-2525 | Food Manufacturing Establishment | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah M Moon | 321 Pilgrim Lane, Southington, CT 06489 | Esthetician | ~ |
| Joanna Milewski | 23 Stacy Cate Drive, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Richard M Testa | 81 Winter Park Road, Southington, CT 06489 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Valley Roofing LLC | 88 Ladyslipper Lane, Southington, CT 06489 | Home Improvement Contractor | ~ |
| Dunkin Donuts · New England Donuts LLC | 856 Queen St, Southington, CT 06489 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Elizabeth E Pizzuto | 45 Water Street, Southington, CT 06489 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| Nicholas C Ingel | 515 West Street, Southington, CT 06489 | Heating, Piping & Cooling Limited Journeyperson | 2020-06-23 ~ 2021-08-31 |
| Tyrone J Correa | 84 Minthal Drive, Southington, CT 06489 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Marilyn F Coppola | 114 Spring Hill Rd, Southington, CT 06489 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Christine M Liebler | 30 Sultana Terrace, Southington, CT 06489 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06489 | |||
| City | SOUTHINGTON |
| Zip Code | 06489 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + SOUTHINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frederick W Berggren | 105 Sound Breeze Ave, Groton, CT 06340-8949 | Physical Therapist Assistant | 2016-02-01 ~ 2017-01-31 |
| Frederick E Bailey IIi | 76 Stewart Hill Rd., Portland, CT 06480 | Physical Therapist Assistant | 2020-03-01 ~ 2021-02-28 |
| Frederick J Mcfeeters | 140 Hamilton Ave, Warwick, RI 02886 | Occupational Therapist Assistant | 2009-08-01 ~ 2011-07-31 |
| Nora A Sharkey | 22 Frederick Rd, West Hartford, CT 06119 | Occupational Therapist Assistant | 2009-06-16 ~ 2011-07-31 |
| Frederick M Phelps | 17 Sabrinas Ct, Norwich, CT 06360-1678 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
| Kristi Campanella | 8018 Sunrise Ct, Frederick, CO 80516-9422 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Suman Dahiya | 1214 Palladian Way, Frederick, MD 21702 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| James R Bucklin | 4959 Woodhirst Dr, Frederick, MD 21703-6973 | Physical Therapist | 2016-05-01 ~ 2017-04-30 |
| Bonnie Baird | 9391 Penrose St., Frederick, MD 21704 | Physical Therapist | 1978-07-27 ~ 1992-04-30 |
| Frederick S Valente | 115 Marbern Lane, Naugatuck, CT 06770 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
Please comment or provide details below to improve the information on FREDERICK J MACMULLEN.
| 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).