STEPHEN MIKE D MALAGUM (Credential# 1361575) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
STEPHEN MIKE D MALAGUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011211. The credential type is physical therapist. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 1111 S Pearl St Apt 4, Deming, NM 88030-4702. The current status is active.
| Licensee Name | STEPHEN MIKE D MALAGUM |
| Credential ID | 1361575 |
| Credential Number | 14.011211 |
| Credential Type | Physical Therapist |
| Business Address |
1111 S Pearl St Apt 4 Deming NM 88030-4702 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-11-03 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2019-12-03 |
| Street Address | 1111 S PEARL ST APT 4 |
| City | DEMING |
| State | NM |
| Zip Code | 88030-4702 |
| 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 |
| Mark Alexis P Balverde | 1204 S Platinum Ave, Deming, NM 88030-5136 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Krizelle Viray | 1204 S Platinum Ave, Deming, NM 88030-5136 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| 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 |
|---|---|---|---|
| Stephen P Cox | 46 Calument Dr, Brockton, MA 02301 | Physical Therapist | ~ 1989-09-30 |
| Stephen C Mariski | Po Box 250, Bethel, NY 12720 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
| Stephen C Bailen | 31 Whiteside St, Newington, CT 06111-3964 | Physical Therapist | ~ |
| Stephen Peszynski | 809 Horizon Way, Manchester, CT 06042 | Physical Therapist | 2019-10-31 ~ 2020-10-31 |
| Stephen A George | 215 White Rd., Mineola, NY 11501 | Physical Therapist | 2004-10-15 ~ 2005-05-31 |
| Stephen P Jersey | 18 Glendower Rd, Hamden, CT 06517-1201 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Stephen E Merkle | 15 Hollis Dr, Brookfield, CT 06804-1731 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Stephen T Chabak | 6 Huber Mnr, Middletown, CT 06457-3719 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Stephen T Cerbo | 1290 Bay Dale Dr # 316, Arnold, MD 21012-2325 | Physical Therapist | ~ |
| Stephen S Katzenback | 30 Marcy St., Somerset, NJ 08873 | Physical Therapist | 2006-03-22 ~ 2007-05-31 |
Please comment or provide details below to improve the information on STEPHEN MIKE D MALAGUM.
| 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).