JUSTIN CLARK (Credential# 1265574) is licensed (Physical Therapist) 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.
JUSTIN CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.010416. The credential type is physical therapist. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 3 Mortimer Place, Bronxville, NY 10708. The current status is active.
| Licensee Name | JUSTIN CLARK |
| Credential ID | 1265574 |
| Credential Number | 14.010416 |
| Credential Type | Physical Therapist |
| Business Address |
3 Mortimer Place Bronxville NY 10708 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-03-02 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-05 |
| Street Address | 3 Mortimer Place |
| City | Bronxville |
| State | NY |
| Zip Code | 10708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carmelita Reyes-montinola | 801 Bronx River Rd, Bronxville, NY 10708 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hedieh Honarpisheh | 52 Howe Place, Bronxville, NY 10708 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joshua Brandfonbrener | 9 Alden Place, Bronxville, NY 10708 | Architect | 2020-08-01 ~ 2021-07-31 |
| Ayako Takahata | 76a Oregon Ave, Bronxville, NY 10708 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Anne H Angevine Md | 14 Westway, Bronxville, NY 10708 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Stephen Ryan Meyers | 4 Valley Road, Bronxville, NY 10708 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Caroline S Beit | 11 White Plains Road, Bronxville, NY 10708 | Emergency Medical Technician | ~ |
| Philip J Overby Md | 133 Pondfield Road, Bronxville, NY 10708 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Anna Belman | 55 Palmer Avenue, Bronxville, NY 10708 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michele L Rohr Md | 43 Greenfield Ave, Bronxville, NY 10708 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 10708 | |||
| City | Bronxville |
| Zip Code | 10708 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + Bronxville |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justin Anthony Santamaria | 43 Nod Rd, Clinton, CT 06413-1615 | Physical Therapist | ~ |
| Justin C Maurizio | 393 Higganum Rd, Durham, CT 06422-1911 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Justin S Bagley | 1 East St., Annandale, NJ 08801 | Physical Therapist | 2009-02-26 ~ 2010-02-28 |
| Justin J Awruch | 116 Woodhaven Rd, Glastonbury, CT 06033-1854 | Physical Therapist | 2019-04-01 ~ 2020-03-31 |
| Justin Jon Gwaltney | 4 Hopkins Holw, Bradford, RI 02808-1771 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Justin R Scheckler | 4 Moore St, Darien, CT 06820-3925 | Physical Therapist Assistant | 2016-11-01 ~ 2017-10-31 |
| Justin Elijah Brantley | 520 3rd Ave, West Haven, CT 06516-4519 | Physical Therapist | 2019-12-02 ~ 2020-12-31 |
| Justin Simone | 2561 Barry Ct, Yorktown Heights, NY 10598-3430 | Physical Therapist | 2016-04-22 ~ 2016-11-30 |
| Amy L Clark | 196 Turnpike Rd, Somers, CT 06071-1239 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
| Clark M Racho | Midland, TX 79706 | Physical Therapist | 2015-10-02 ~ 2016-05-31 |
Please comment or provide details below to improve the information on JUSTIN CLARK.
| 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).