MELISSA B DOMOY
Physical Therapist


Address: 1562 Ham Rd, Basom, NY 14013-9722

MELISSA B DOMOY (Credential# 693496) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2016. The license expiration date date is March 31, 2017. The license status is INACTIVE.

Business Overview

MELISSA B DOMOY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.007921. The credential type is physical therapist. The effective date is April 1, 2016. The expiration date is March 31, 2017. The business address is 1562 Ham Rd, Basom, NY 14013-9722. The current status is inactive.

Basic Information

Licensee Name MELISSA B DOMOY
Credential ID 693496
Credential Number 14.007921
Credential Type Physical Therapist
Business Address 1562 Ham Rd
Basom
NY 14013-9722
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-07-13
Effective Date 2016-04-01
Expiration Date 2017-03-31
Refresh Date 2017-07-04

Office Location

Street Address 1562 HAM RD
City BASOM
State NY
Zip Code 14013-9722

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Lynn K Olsen 1176 Mcalpine Road, Bason, NY 14013 Dental Hygienist 2004-09-28 ~ 2005-11-30

Competitor

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City BASOM
Zip Code 14013
License Type Physical Therapist
License Type + County Physical Therapist + BASOM

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Dataset Information

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).

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