ASHTON M EBLEN
Physical Therapist Assistant


Address: 12556 Knollwood Dr, Leavenworth, KS 66048-7259

ASHTON M EBLEN (Credential# 1085077) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2013. The license expiration date date is September 30, 2014. The license status is INACTIVE.

Business Overview

ASHTON M EBLEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001284. The credential type is physical therapist assistant. The effective date is October 1, 2013. The expiration date is September 30, 2014. The business address is 12556 Knollwood Dr, Leavenworth, KS 66048-7259. The current status is inactive.

Basic Information

Licensee Name ASHTON M EBLEN
Credential ID 1085077
Credential Number 63.001284
Credential Type Physical Therapist Assistant
Business Address 12556 Knollwood Dr
Leavenworth
KS 66048-7259
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-09-04
Effective Date 2013-10-01
Expiration Date 2014-09-30
Refresh Date 2015-01-09

Office Location

Street Address 12556 KNOLLWOOD DR
City LEAVENWORTH
State KS
Zip Code 66048-7259

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Brian G Thorson 4809 Park Lane, Leavenworth, KS 66048 Registered Nurse 2020-08-01 ~ 2021-07-31
Shannon M Daniels 17620 Millwood Rd, Leavenworth, KS 66048 Registered Nurse 2018-07-01 ~ 2019-06-30
Erin E Hughes 3524 Remington Lane, Leavenworth, KS 66048 Physical Therapist 2006-09-27 ~ 2007-07-31
Kathleen Couture 1602 Quincy Street, Leavenworth, KS 66048 Registered Nurse 1998-08-20 ~ 1999-10-31
Wendy S Mcclellan 17102 Eisenhower Road, Leavenworth, KS 66048 Registered Nurse 2007-02-01 ~ 2007-07-31
Peter A Arts 1821 Choctaw, Leavenworth, KS 66048 Engineer-in-training 1995-07-10 ~ 2005-07-10
Carrie Alene Stuart 2000 High St, Leavenworth, KS 66048-2168 Registered Nurse 2017-02-15 ~ 2017-11-30
Annette Sue Peare 3900 New Lawrence Rd, Leavenworth, KS 66048-5257 Licensed Clinical Social Worker 2020-02-01 ~ 2021-01-31
Bradley F Reynolds 23751 163rd St, Leavenworth, KS 66048-6386 Professional Engineer 2020-02-01 ~ 2021-01-31
Planting Roots Corporation · Panting Roots 16937 Dakota Dr, Leavenworth, KS 66048-7550 Public Charity-exempt From Financial Requirements 2016-05-10 ~
Find all Licenses in zip 66048

Competitor

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City LEAVENWORTH
Zip Code 66048
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + LEAVENWORTH

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Dataset Information

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).

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