KATHLEEN S BOURQUE (Credential# 787092) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 9, 2008. The license expiration date date is September 30, 2009. The license status is INACTIVE.
KATHLEEN S BOURQUE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000951. The credential type is physical therapist assistant. The effective date is September 9, 2008. The expiration date is September 30, 2009. The business address is 15 Granger Place, West Springfield, MA 01089. The current status is inactive.
| Licensee Name | KATHLEEN S BOURQUE |
| Credential ID | 787092 |
| Credential Number | 63.000951 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
15 Granger Place West Springfield MA 01089 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2006-12-06 |
| Effective Date | 2008-09-09 |
| Expiration Date | 2009-09-30 |
| Refresh Date | 2010-01-08 |
| Street Address | 15 Granger Place |
| City | West Springfield |
| State | MA |
| Zip Code | 01089 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Darlene A Kurman | 158 Edgewood Rd, W Springfield, MA 01089 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jessica Marquez | 758 Westfield St, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
| Jody L Russell | 121 Greenleaf Ave, West Springfield, MA 01089 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine Zemanek | 81 Braintree Road, West Springfield, MA 01089 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| John Calabrese | 64 High Meadow Dr, West Springfield, MA 01089 | Dentist | ~ |
| Mary Christine Matias | 24 Appaloosa Lane, West Springfield, MA 01089 | Licensed Practical Nurse | ~ |
| Elizabeth A Favreau | 21 Hummingbird Lane, West Springfield, MA 01089 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| James M Hanifan | 90 Bayberry Ln, W Springfield, MA 01089 | Architect | 2020-08-01 ~ 2021-07-31 |
| Katie Marie Sniegowski | 22 Garden St, West Springfield, MA 01089 | Registered Nurse - Temporary | 2020-02-05 ~ 2020-06-04 |
| Surgi-care Inc | 150 Doty Cir, West Springfield, MA 01089 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01089 | |||
| City | West Springfield |
| Zip Code | 01089 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + West Springfield |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathleen A Manning | 53 Miller St., Johnstown, NY 12095 | Physical Therapist Assistant | 2013-03-01 ~ 2014-02-28 |
| Kathleen S Bonsall | 245 Hampshire Dr., Deptford, NJ 08096 | Physical Therapist Assistant | 2002-09-18 ~ 2006-11-01 |
| Kathleen Robinson | 975 Farmington Ave., Bristol, CT 06010 | Physical Therapist Assistant | ~ 2006-11-01 |
| Kathleen Wyckoff | 246 Federal Rd., Brookfield, CT 06804 | Physical Therapist Assistant | 2001-02-21 ~ 2006-11-01 |
| Kathleen Robinson | 49 Nooseneck Hill Rd, Wyoming, RI 02898-1004 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
| Kathleen M Pozdol | 1205 Colusa St, Sandiego, CA 92110 | Physical Therapist Assistant | ~ 2006-11-01 |
| Kathleen S Fortin | 2 Hemlock Cir, Stafford Springs, CT 06076-4328 | Physical Therapist Assistant | 2019-11-01 ~ 2020-10-31 |
| Kathleen A O'connor | 3000 Dover Ct., Windsor, CT 06095-1488 | Physical Therapist Assistant | 2001-02-14 ~ 2006-11-01 |
| Kathleen Marie Feliciano | 319 Northfield Road, Watertown, CT 06795 | Physical Therapist Assistant | ~ |
| Kathleen Alfano | 15 Hickory Hill Rd, Brookfield, CT 06804-1512 | Physical Therapist Assistant | 2020-07-01 ~ 2021-06-30 |
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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).