MARK ALEXIS P BALVERDE (Credential# 1354563) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.
MARK ALEXIS P BALVERDE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011240. The credential type is physical therapist. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 1204 S Platinum Ave, Deming, NM 88030-5136. The current status is active.
| Licensee Name | MARK ALEXIS P BALVERDE |
| Credential ID | 1354563 |
| Credential Number | 14.011240 |
| Credential Type | Physical Therapist |
| Business Address |
1204 S Platinum Ave Deming NM 88030-5136 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-12-01 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2020-04-01 |
| Street Address | 1204 S PLATINUM AVE |
| City | DEMING |
| State | NM |
| Zip Code | 88030-5136 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Krizelle Viray | 1204 S Platinum Ave, Deming, NM 88030-5136 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donna Borden | 713 W. Spruce Pmb1101, Deming, NM 88030 | Registered Nurse | 2007-09-11 ~ 2007-12-31 |
| Donna M Cruz | 622 W Spruce St Apt 10, Deming, NM 88030-3552 | Physical Therapist | 2012-03-01 ~ 2013-02-28 |
| Stephen Mike D Malagum | 1111 S Pearl St Apt 4, Deming, NM 88030-4702 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Fabian J Zamora | 2012 Lisa Dr, Deming, NM 88030-6183 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| New Mexico Wineries Inc · St Clair Winery & Tasting Room | 1325 De Baca Rd Se, Deming, NM 88030-9033 | Out of State Retailer Shipper for Wine | 2020-02-19 ~ 2021-02-18 |
| New Mexico Wineries Inc · New Mexico Wineries | 1325 De Baca Rd Se, Deming, NM 88030-9033 | Out of State Winery | 2019-12-01 ~ 2020-11-30 |
| City | DEMING |
| Zip Code | 88030 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + DEMING |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexis L Williams | Po Box 86, Pomfret, CT 06258-0086 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
| Alexis C English | 175 Suburban Ave, Bridgeport, CT 06604-1203 | Physical Therapist | 2015-08-01 ~ 2016-07-31 |
| Alexis Victoria Parchment | 102 Woodbridge Ave, Ansonia, CT 06401-2064 | Physical Therapist | ~ |
| Alexis M Cashin | 108 Market St, Annapolis, MD 21401-2633 | Physical Therapist | 2015-02-19 ~ 2016-02-29 |
| Alexis Dickover | 27 Milo Dr, Middletown, NY 10941 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Alexis Michelle Meyer | 38 Kalan Cir, Fairfield, CT 06824-4046 | Physical Therapist | ~ |
| Bianca Alexis Ferrante | 117 Overlook Dr, Ludlow, MA 01056-1095 | Physical Therapist | 2017-08-01 ~ 2018-07-31 |
| Alexis J Hutchings | 306 Sharon Tpke, Goshen, CT 06756-1401 | Physical Therapist | 2019-03-01 ~ 2020-02-29 |
| Alexis L Santos | 1333a North Ave Unit 629, New Rochelle, NY 10804-2120 | Physical Therapist | 2010-08-01 ~ 2011-07-31 |
| Alexis Belmar Mirazol Dela Pena | 1413 38th St, Brooklyn, NY 11218-3613 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
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| 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).