JENNIFER A MIROCK (Credential# 693319) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is APPROVED.
JENNIFER A MIROCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.007744. The credential type is physical therapist. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 19303 Briar Dr, Bloomington, IL 61705-4036. The current status is approved.
| Licensee Name | JENNIFER A MIROCK |
| Credential ID | 693319 |
| Credential Number | 14.007744 |
| Credential Type | Physical Therapist |
| Business Address |
19303 Briar Dr Bloomington IL 61705-4036 |
| Business Type | INDIVIDUAL |
| Status | APPROVED - CURRENT |
| Active | 1 |
| Issue Date | 2005-08-02 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-08 |
| Street Address | 19303 BRIAR DR |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61705-4036 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sam Awan | 3903 Anabelle Dr, Bloomington, IL 61705-8823 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Indiana University Alumni Association Inc | 1000 E 17th St, Bloomington, IN 47408-1521 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Julia A Mason | 9329 Nesbitt Rd, Bloomington, MN 55437 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elder-jones Inc | 1120 E 80th St Ste 211, Bloomington, MN 55420-1463 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Harmon Inc | 7900 Xerxes Ave S Ste 1800, Bloomington, MN 55431-1105 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Kaylee Kristine Krzmarzick | 2901 W 100th St, Bloomington, MN 55431-2810 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Travis J Meeks | 5008 W De Ann Dr, Bloomington, IN 47404-9095 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Exel Inc · Dhl Supply Chain Usa | 305 Resource Dr, Bloomington, CA 92316-3528 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Cook Medical, LLC | 400 N Daniels Way, Bloomington, IN 47404-9155 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Single-ply Systems Inc | 10951 Nesbitt Ave S, Bloomington, MN 55437-3125 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Eric Thacker | 1007 W Taylor St, Bloomington, IL 61701-4914 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in BLOOMINGTON | |||
| City | BLOOMINGTON |
| Zip Code | 61705 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + BLOOMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer C Fannon | 82 Redstone St, Bristol, CT 06010-7947 | Physical Therapist | ~ |
| Jennifer C Barredo | Lot 26 Block 5 Aguinaldo St. | Physical Therapist | ~ |
| Jennifer Holtzer | 8 Turnberry Ln, Bloomfield, CT 06002-2385 | Physical Therapist | ~ |
| Jennifer A Spitz | 21 Marinero Cir Apt 104, Tiburon, CA 94920-1665 | Physical Therapist | ~ |
| Jennifer L Sisson | P.o. Box 512, Bristol, NH 03222 | Physical Therapist | 2003-07-30 ~ 2004-07-31 |
| Jennifer M Mcmahon | 148 Factory St, Salisbury, CT 06068-1704 | Physical Therapist | ~ |
| Jennifer L Mills | Box 320, Lexington, SC 29072 | Physical Therapist | ~ 1997-05-31 |
| Jennifer J Rea | 105 Stanhope Ct, Beckley, WV 25801-4722 | Physical Therapist | 2008-08-18 ~ 2009-10-31 |
| Jennifer B Legge | P.o. Box 709, Wharton, TX 77488 | Physical Therapist | ~ 1997-03-31 |
| Jennifer W Bresnick | 14 Treeland Rd, Shelton, CT 06484-2731 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
Please comment or provide details below to improve the information on JENNIFER A MIROCK.
| 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).