MANJU IDICULLA (Credential# 787127) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MANJU IDICULLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000986. The credential type is physical therapist assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 120 Waverly Dr, Newington, CT 06111-4649. The current status is active.
| Licensee Name | MANJU IDICULLA |
| Credential ID | 787127 |
| Credential Number | 63.000986 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
120 Waverly Dr Newington CT 06111-4649 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-11-29 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-05 |
| Street Address | 120 WAVERLY DR |
| City | NEWINGTON |
| State | CT |
| Zip Code | 06111-4649 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brian Cap | 115 Waverly Dr, Newington, CT 06111-4649 | Home Improvement Salesperson | 2019-12-01 ~ 2020-11-30 |
| Nina Sit | 100 Waverly Dr, Newington, CT 06111-4649 | Registered Nurse | 2017-01-01 ~ 2017-12-31 |
| Huong T Nguyen | 108 Waverly Dr, Newington, CT 06111-4649 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anastasya Anisimova | 114 Fox Run Court, Newington, CT 06111 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Karen S Cleaveland | 52 Amidon Ave, Newington, CT 06111 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Leeann R Johnson | 17 Cinnamon Rd, Newington, CT 06111 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Isma Mian | 65 Cortland Way, Newington, CT 06111 | Physician/surgeon | ~ |
| Danielle Rocha | 1582 Willard Ave, Newington, CT 06111 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Munson's Chocolates | 3157 Berlin Tpke, Newington, CT 06111 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Shandea Edwards | 21 Hartford Ave #14, Newington, CT 06111 | Medication Administration Certification | ~ |
| Hengchao Xiong | 47 Adam Dr, Newington, CT 06111 | Nail Technician | ~ |
| Tuyen Le Phan | 71 Lantern Hill, Newington, CT 06111 | Nail Technician | ~ |
| Smita Parth Dave | 192 Brookside Rd, Newington, CT 06111 | Esthetician | ~ |
| Find all Licenses in zip 06111 | |||
| City | NEWINGTON |
| Zip Code | 06111 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + NEWINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| One A Any | 123, Avon, CT 06001 | Physical Therapist Assistant | 2001-01-31 ~ 2002-01-01 |
| Antony Pinto | Bronx, NY 10461 | Physical Therapist Assistant | ~ |
| Dollyann Echevarria | Carolina, PR 00983 | Physical Therapist Assistant | ~ |
| Christopher J Miffitt | P.o. Box 434, Charlton, MA 01507 | Physical Therapist Assistant | 2008-10-23 ~ 2009-09-30 |
| Danuta T. Mulec | Plaza Dr, #187, Middletown, CT 06457 | Physical Therapist Assistant | ~ |
| Dimitri Hatzi | 17 Judd Ave, Bethel, CT 06801 | Physical Therapist Assistant | ~ |
| Mark P Logiudice | 850 Mix Ave., Hamden, CT 06514 | Physical Therapist Assistant | ~ 2006-11-01 |
| William J Aye | 92 Montvale Ave., Stoneham, MA 02180 | Physical Therapist Assistant | ~ 2006-11-01 |
| Susan P Radcliffe | Po Box 233, Plymouth, NH 03264 | Physical Therapist Assistant | 2005-08-16 ~ 2006-11-01 |
| Joanne M Eichner | 145 Rt 66, Columbia, CT 06237 | Physical Therapist Assistant | 2020-04-01 ~ 2021-03-31 |
Please comment or provide details below to improve the information on MANJU IDICULLA.
| 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).