LISA L LONGWORTH (Credential# 1046951) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2012. The license expiration date date is July 31, 2012. The license status is INACTIVE.
LISA L LONGWORTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001216. The credential type is physical therapist assistant. The effective date is February 1, 2012. The expiration date is July 31, 2012. The business address is 349 Old Town Rd, East Setauket, NY 11733-3450. The current status is inactive.
| Licensee Name | LISA L LONGWORTH |
| Credential ID | 1046951 |
| Credential Number | 63.001216 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
349 Old Town Rd East Setauket NY 11733-3450 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-02-01 |
| Effective Date | 2012-02-01 |
| Expiration Date | 2012-07-31 |
| Refresh Date | 2014-07-24 |
| Street Address | 349 OLD TOWN RD |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733-3450 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven H Krinsky | 5 Merlin Lane, Setauket, NY 11733 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Katarzyna Gray | 1 Club House Ct, Setauket, NY 11733 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Kambiz Nassiri | 6 Club House Court, E Setauket, NY 11733 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Alexa S Primavera | 7 Dorm Court, East Setauket, NY 11733 | Emergency Medical Technician | ~ |
| Joseph Ilasi | Long Island Pathology, Inc., East Setauket, NY 11733 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Inessa Safarov | 2 Flint Ct, East Setauket, NY 11733 | Dentist | 2019-09-01 ~ 2020-08-31 |
| David J Ben-eliyahu | 20 Abbey La, Setauket, NY 11733 | Chiropractor | 2019-04-01 ~ 2020-03-31 |
| Eugene Matthew Daniel Arena | 2 Lynx Lane, East Setauket, NY 11733 | Registered Nurse | 2019-05-01 ~ 2020-04-30 |
| Robert T Gongolewski · Brothers Chimney Service Inc | 48 Julia Cirle, Setauket, NY 11733 | Home Improvement Salesperson | 1997-12-30 ~ 1998-11-30 |
| James L Seccadanari · Jason Witover/prof Chimney Company | 30 Fireside Lane, East Setauket, NY 11733 | Home Improvement Salesperson | 1998-12-31 ~ 1999-11-30 |
| Find all Licenses in zip 11733 | |||
| City | EAST SETAUKET |
| Zip Code | 11733 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + EAST SETAUKET |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa A Costanzo | Po. Box 825, Georgetown, MA 01833 | Physical Therapist Assistant | ~ 2006-11-01 |
| Lisa D Fiasconaro | 4 Daisy Ln, Ellington, CT 06029-3240 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| Lisa L Burns | 3 Madison Dr, Newtown, CT 06470-2014 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
| Lisa A O'brien | 32 Sunnybrook Dr, Manchester, CT 06040-6622 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
| Lisa M Weik | 205 West St, Lakeside, CT 06758-5804 | Physical Therapist Assistant | 2019-12-01 ~ 2020-11-30 |
| Lisa A Wotring | 56 Middle Rd, Preston, CT 06365-8220 | Physical Therapist Assistant | 2020-04-01 ~ 2021-03-31 |
| Lisa M Franco | 60 Hemlock St, Manchester, CT 06040-4016 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
| Lisa A Zinman | 403 Palisade Ave., Yonkers, NY 10703 | Physical Therapist Assistant | 2020-05-01 ~ 2021-04-30 |
| Lisa G Patterson | 14 Oak Park Dr., Centralia, IL 62801 | Physical Therapist Assistant | 2003-02-26 ~ 2006-11-01 |
| Lisa M Mccormick | 137 N Brook St, Hampton, CT 06247-3600 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on LISA L LONGWORTH.
| 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).