MARIVIC LUCENA DIEGO (Credential# 1626705) 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.
MARIVIC LUCENA DIEGO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.012264. The credential type is physical therapist. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860. The current status is active.
| Licensee Name | MARIVIC LUCENA DIEGO |
| Credential ID | 1626705 |
| Credential Number | 14.012264 |
| Credential Type | Physical Therapist |
| Business Address |
1580 Sawgrass Corporate Pkwy Ste 100 Sunrise FL 33323-2860 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-12 |
| Effective Date | 2019-09-01 |
| Expiration Date | 2020-08-31 |
| Refresh Date | 2019-09-04 |
| Street Address | 1580 SAWGRASS CORPORATE PKWY STE 100 |
| City | SUNRISE |
| State | FL |
| Zip Code | 33323-2860 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John Emmanuel P Avila | 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Jacklyn Ayeng Paumig | 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Aaron M Bautista | 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Elphie Marie Busayong | 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Abigaile M Del Mundo | 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860 | Physical Therapist | 2018-10-01 ~ 2019-09-30 |
| Elizabeth Abe | 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860 | Physical Therapist | 2018-06-01 ~ 2019-05-31 |
| Eonhee Lee | 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860 | Physical Therapist | 2017-08-01 ~ 2018-07-31 |
| Eungsoo Shin | 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860 | Physical Therapist | 2017-01-01 ~ 2017-12-31 |
| Mary Joylene R Along | 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860 | Physical Therapist | 2015-10-01 ~ 2016-09-30 |
| Elaine M Billena | 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860 | Physical Therapist | 2015-10-01 ~ 2016-09-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rolan Sugatan Occe�a | 1580 Sawgrass Corporate Parkway Suite #200, Sunrise, FL 33323 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Katherine So Dayego | 1580 Sawgrasss Corporate Parkway Suite#200, Sunrise, CT 33323 | Physical Therapist | ~ |
| Mary Kris Joy Alcantara Aguilo | Blk 16 Lot 2 Parkplace Brgy. San Rafael Sto. Tomas, Sto. Tomas, CT 33323 | Physical Therapist | ~ |
| Nicholas Hogan Dibble | 11630 Nw 26th Street, Plantation, FL 33323 | Physical Therapist | 2019-06-13 ~ 2019-11-30 |
| Joseph Levi Staggenborg | 1301 Concord Terrace, Sunrise, FL 33323 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Kalenina Nathalia A Javier | 1580 Sawgrass Corporate Parkway, Suite 200, Sunrise, FL 33323 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
| Maureen A Doherty | 1613 N. Harrison Parkway, Sunrise, FL 33323 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Candice Mae Franco Calonia | Medpro Health Care Staffing, Sunrise, FL 33323 | Physical Therapist | 2019-11-01 ~ 2020-11-30 |
| Estreno Pharmaceuticals LLC | 1560 Sawgrass Corporate Parkway, 4th Floor, Sunrise, FL 33323 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2019-08-01 ~ |
| Alicia Arpa | 1340 Concord Terrace, Sunrise, FL 33323 | Registered Nurse - Temporary | 2019-02-19 ~ 2019-06-19 |
| Find all Licenses in zip 33323 | |||
| City | SUNRISE |
| Zip Code | 33323 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + SUNRISE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marivic L Sarol | 8860 S.mobile Ave Apt 1c, Oak Lawn, IL 60453 | Physical Therapist | ~ |
| Janice Seco De Lucena | 8225 Berkley Ridge, Dunwoody, GA 30350 | Physical Therapist | 1981-01-01 ~ 1993-01-31 |
| Karlo Jans Zara Canela | #21 Mangga Street Pantoc Sabadista Barangay 9, Lucena City, Quezon Province, PH 4301 | Physical Therapist | ~ |
| Denise H Frances | 325 7th Ave Unit 305, San Diego, CA 92101-7176 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Anang Chokshi | 225 Broadway, San Diego, CA 92101 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Joseph M. Zumbo | 702 Ash St Unit 606, San Diego, CA 92101-3280 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Cathy A Boppert | 3849 Shasta St, San Diego, CA 92109 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Linda R Holland | 12678 Monterey, San Diego, CA 92130 | Physical Therapist | 1996-07-15 ~ 1997-04-30 |
| Jessica M. Sheehan | 5050 Lotus St Apt 4, San Diego, CA 92107-1352 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Diego E Aguillon | 441 Savoy St, Bridgeport, CT 06606-4159 | Physical Therapist Assistant | 2020-05-01 ~ 2021-04-30 |
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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).