LISA L CARROLL (Credential# 689322) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is September 15, 1995. The license expiration date date is October 31, 1996. The license status is INACTIVE.
LISA L CARROLL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.003564. The credential type is physical therapist. The effective date is September 15, 1995. The expiration date is October 31, 1996. The business address is 348 Grace Drive, South Pasadena, CA 91030. The current status is inactive.
| Licensee Name | LISA L CARROLL |
| Credential ID | 689322 |
| Credential Number | 14.003564 |
| Credential Type | Physical Therapist |
| Business Address |
348 Grace Drive South Pasadena CA 91030 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1986-08-19 |
| Effective Date | 1995-09-15 |
| Expiration Date | 1996-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 348 GRACE DRIVE |
| City | SOUTH PASADENA |
| State | CA |
| Zip Code | 91030 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacie Payton | 1000 El Centro Street, South Pasadena, CA 91030 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Yong Kyong Kwon | 801 Meridian Ave. Unit F, South Pasadena, CA 91030 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
| Luis A Morales | 1107 Fair Oaks Ave #816, South Pasadena, CA 91030 | Real Estate Salesperson | 2005-06-01 ~ 2006-05-31 |
| Donna Maria Frescura | 804 Kendall Avenue, South Pasadena, CA 91030 | Registered Nurse - Temporary | 2016-12-16 ~ 2017-04-14 |
| Eddie S Wang | 1822 Spruce St, S Pasadena, CA 91030 | Architect | 2009-08-01 ~ 2010-07-31 |
| Marie Faye M Yee | 1606 Ramona Avenue, South Pasadena, CA 91030 | Registered Nurse | 2003-03-31 ~ 2004-03-31 |
| Shao Bo Zhou | 400 Raymondale Dr Apt 31, South Pasadena, CA 91030-2159 | Engineer-in-training | 2012-11-27 ~ 2022-11-27 |
| Pamela S Hamilton | 620 Meridian Ave, South Pasadena, CA 91030-2522 | Registered Nurse | 2009-11-01 ~ 2010-10-31 |
| Fair Oaks Plaza Pharmacy Corp | 1526 Mission St, South Pasadena, CA 91030-3216 | Nonresident Pharmacy | ~ |
| Green Bark Gummies Inc | 1107 Fair Oaks Ave # 816, South Pasadena, CA 91030-3311 | Commercial Feed | 2014-01-13 ~ 2014-12-31 |
| Find all Licenses in zip 91030 | |||
| City | SOUTH PASADENA |
| Zip Code | 91030 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + SOUTH PASADENA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen A Carroll | 27 Mountain Vw Ave, Ridgefield, CT 06877 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Mary E Carroll | 4 Clayton Rd, Randolph, NJ 07869-2001 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Carroll F Murphy | 333 Prospect Mtn Rd, Litchfield, CT 06759 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Nicholas Carroll | 161 Swain Ave, Meriden, CT 06450-7282 | Physical Therapist Assistant | 2020-01-01 ~ 2020-12-31 |
| Shannon G Carroll | 48 Westland Ave, West Hartford, CT 06107-3441 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Timothy J Carroll | 407 Park Drive, Roswell, NM 88201 | Physical Therapist | ~ 1999-09-30 |
| Bridget A Mcnamara | 419 Carroll Road, Fairfield, CT 06824 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Jonna J Carroll | 175 Flat Iron Rd, Guilford, CT 06437-1414 | Physical Therapist | 2013-10-01 ~ 2014-09-30 |
| Mary G Carroll | 2 Broad Street, Westport, CT 06880 | Physical Therapist | 2013-10-01 ~ 2014-09-30 |
| Anna Wloch | 65 Carroll Street, New Britain, CT 06053 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on LISA L CARROLL.
| 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).