JESSICA L DOMIS (Credential# 1190167) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is January 2, 2014. The license expiration date date is January 31, 2015. The license status is INACTIVE.
JESSICA L DOMIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.010011. The credential type is physical therapist. The effective date is January 2, 2014. The expiration date is January 31, 2015. The business address is 4334 Town Brooke, Middletown, CT 06457-6613. The current status is inactive.
| Licensee Name | JESSICA L DOMIS |
| Credential ID | 1190167 |
| Credential Number | 14.010011 |
| Credential Type | Physical Therapist |
| Business Address |
4334 Town Brooke Middletown CT 06457-6613 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2014-01-02 |
| Effective Date | 2014-01-02 |
| Expiration Date | 2015-01-31 |
| Refresh Date | 2015-05-28 |
| Street Address | 4334 TOWN BROOKE |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-6613 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Benjamin R Paul | 4334 Town Brooke # E012, Middletown, CT 06457-6613 | Physical Therapist | 2014-03-01 ~ 2015-02-28 |
| Dorian K Madrid Pa | 4333 Town Brooke, Middletown, CT 06457-6613 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica E Leger | 93 Brantwood Rd Apt 1, Worcester, MA 01602-1771 | Physical Therapist | ~ |
| Jessica L Bassett | 35 Watson Rd, Vernon, CT 06066-3905 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Jessica L Cronk | 59 Deer Run Rd, Durham, CT 06422-2622 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Jessica Drummond | 40 Eastlawn St, Fairfield, CT 06824-6418 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Jessica Rose Bocek | 45 Evergreen Ln, Southington, CT 06489-2705 | Physical Therapist | ~ |
| Jessica L Zager | 15 Redcoat Ln, Trumbull, CT 06611-2131 | Physical Therapist | 2017-07-10 ~ 2018-07-31 |
| Jessica L Dyer | 395 Clark Rd, Albion, ME 04910-6016 | Physical Therapist | 2013-12-01 ~ 2014-11-30 |
| Jessica D Rice | 30 Monroe St, Milford, CT 06460-5760 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Jessica Lee Prior | 349 Pokorny Rd, Higganum, CT 06441-4418 | Physical Therapist | 2019-11-04 ~ 2020-09-30 |
| Jessica C Zeuli | 13 Ramsay Rd, Marblehead, MA 01945 | Physical Therapist | ~ 1999-03-31 |
Please comment or provide details below to improve the information on JESSICA L DOMIS.
| 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).