LISA S BROWN (Credential# 1072855) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
LISA S BROWN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001289. The credential type is physical therapist assistant. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 6 Flintlock Ridge Rd, Westport, CT 06880-1006. The current status is active.
| Licensee Name | LISA S BROWN |
| Credential ID | 1072855 |
| Credential Number | 63.001289 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
6 Flintlock Ridge Rd Westport CT 06880-1006 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-11-13 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-08-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1078149 | 63.001267-TEMP | PTA Temporary Permit | 2012-06-26 | 2012-06-26 - 2012-10-24 | INACTIVE |
| 1078084 | 63 | Physical Therapist Assistant | - | PENDING |
| Street Address | 6 FLINTLOCK RIDGE RD |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880-1006 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Quinn M Brown | 45 Willow St., Springfield, MA 01103 | Physical Therapist Assistant | 2002-03-22 ~ 2006-11-01 |
| Lisa A Costanzo | Po. Box 825, Georgetown, MA 01833 | Physical Therapist Assistant | ~ 2006-11-01 |
| Lindsey R Brown | 145 Kern Drive, Marietta, OH 45750 | Physical Therapist Assistant | 2007-11-13 ~ 2008-11-30 |
| Natalie N Brown | 35 Nonquit St, West Haven, CT 06516-1420 | Physical Therapist Assistant | 2019-08-01 ~ 2020-07-31 |
| Brittany Marie Pieta | 105 Brown St, Wethersfield, CT 06109 | Physical Therapist Assistant | 2020-07-01 ~ 2021-06-30 |
| Lisa M Mccormick | 137 N Brook St, Hampton, CT 06247-3600 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
| Lisa G Patterson | 14 Oak Park Dr., Centralia, IL 62801 | Physical Therapist Assistant | 2003-02-26 ~ 2006-11-01 |
| Lisa L Burns | 3 Madison Dr, Newtown, CT 06470-2014 | Physical Therapist Assistant | 2020-02-01 ~ 2021-01-31 |
| Lisa M Franco | 60 Hemlock St, Manchester, CT 06040-4016 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
| Lisa M Weik | 205 West St, Lakeside, CT 06758-5804 | Physical Therapist Assistant | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on LISA S BROWN.
| 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).