RAVEN DOMINIQUE BEDONIA SULLIVAN (Credential# 1608162) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
RAVEN DOMINIQUE BEDONIA SULLIVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.012080. The credential type is physical therapist. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 1413 38th St, Brooklyn, NY 11218-3613. The current status is active.
| Licensee Name | RAVEN DOMINIQUE BEDONIA SULLIVAN |
| Credential ID | 1608162 |
| Credential Number | 14.012080 |
| Credential Type | Physical Therapist |
| Business Address |
1413 38th St Brooklyn NY 11218-3613 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-12-03 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2020-02-28 |
| Street Address | 1413 38TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11218-3613 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexis Belmar Mirazol Dela Pena | 1413 38th St, Brooklyn, NY 11218-3613 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Nicole Janine R Gatillo | 1413 38th St, Brooklyn, NY 11218-3613 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Lorraine R Nazario | 1413 38th St, Brooklyn, NY 11218-3613 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Jervin Cenon Ancheta Macaranas | 1413 38th St, Brooklyn, NY 11218-3613 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Ronald N Bancud | 1413 38th St, Brooklyn, NY 11218-3613 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Kimmy Y Tiu | 1413 38th St, Brooklyn, NY 11218-3613 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Jose Mari L Raffinan | 1413 38th St, Brooklyn, NY 11218-3613 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
| Danielle Hannah Rodriguez Enriquez | 1413 38th St, Brooklyn, NY 11218-3613 | Physical Therapist | 2019-05-01 ~ 2020-04-30 |
| Karen Crysta M Tinana | 1413 38th St, Brooklyn, NY 11218-3613 | Physical Therapist | 2019-01-01 ~ 2019-12-31 |
| Ayryn B Alterado | 1413 38th St, Brooklyn, NY 11218-3613 | Physical Therapist | 2018-04-01 ~ 2019-03-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patricia Louise Moreno Potente | 1413 38th St Brooklyn Ny11218, Brooklyn, NY 11218-3613 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Kathleen Samarista | C/o Grandison Management, Brooklyn, NY 11218 | Physical Therapist | ~ |
| Sheila R Tan Blancada | Grandison Management, Brooklyn, NY 11218 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Jafreen Ahmed | 801 Avenue C, Jamaica, NY 11218 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Danica May Vergeire Dalmacion | 1413 38th St., Brooklyn, New York, NY 11218 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Takeshape, Inc. | 40 Ocean Parkkway #3b, Brooklyn, NY 11218 | Securities - Exemptions | 2020-04-15 ~ |
| Sook King Mak | 181 Dahill Road, Brooklyn, NY 11218 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Wah Mui Yeung | 109 Albemarle Road, Brooklyn, NY 11218 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Ching Hsia Lim | 1171 39 Th St Apt 1, Brooklyn, NY 11218 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Samuel A Sarpong | 377 Ocean Parkway # C-1, Brooklyn, NY 11218 | Master's Level Social Worker | 2020-04-01 ~ 2021-03-31 |
| Jan Emmanuel Rodriguez Ceniza | 1413 38th Street, Brooklyn, NY 11218 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 11218 | |||
| City | BROOKLYN |
| Zip Code | 11218 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + BROOKLYN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Winlove Raven Lara Bobiles | Block 24, Lot 8,10, 12, Phase 1 Clifton Street, Bi�an, Laguna, PH 4024 | Physical Therapist | ~ |
| Dominique E Wynn · Brazao | 14a Taagan Point Rd, Danbury, CT 06811-3888 | Physical Therapist | 2012-09-01 ~ 2013-08-31 |
| Natasha Dominique Sampana Sordan | 12 Bahawan Street Barangay Masambong, Quezon City, PH 1115 | Physical Therapist | ~ |
| Raven Brands Inc · Raven Import Co | 78 Greenpoint Ave, Brooklyn, NY 11222-3886 | Out of State Shipper Beer | 2019-03-04 ~ 2020-03-03 |
| Brendan M Sullivan | Cmr 402 Box 1078, Apo, 09180 | Physical Therapist | 2006-06-08 ~ 2007-07-31 |
| Shawn C Sullivan | 606 Bow Ln, Middletown, CT 06457-4809 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Andrew J Sullivan | 230 Farmington Ave, Fairfield, CT 06825 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
| Joann D Sullivan | 200 Proteus Ave, Groton, CT 06340-2868 | Physical Therapist | 2013-01-01 ~ 2013-12-31 |
| Kathleen M Sullivan | 44 Cobblestone Ct, Newington, CT 06111-5151 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Andrew B Sullivan | 7 Melville Ave, Fairfield, CT 06825-2002 | Physical Therapist | 2017-01-01 ~ 2017-12-31 |
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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).