KELLY L BUCHSBAUM (Credential# 693721) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2012. The license expiration date date is July 31, 2013. The license status is INACTIVE.
KELLY L BUCHSBAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008146. The credential type is physical therapist. The effective date is August 1, 2012. The expiration date is July 31, 2013. The business address is 117 Klothe Dr, Grahamsville, NY 12740-5805. The current status is inactive.
| Licensee Name | KELLY L BUCHSBAUM |
| Credential ID | 693721 |
| Credential Number | 14.008146 |
| Credential Type | Physical Therapist |
| Business Address |
117 Klothe Dr Grahamsville NY 12740-5805 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-07-26 |
| Effective Date | 2012-08-01 |
| Expiration Date | 2013-07-31 |
| Refresh Date | 2013-11-06 |
| Street Address | 117 KLOTHE DR |
| City | GRAHAMSVILLE |
| State | NY |
| Zip Code | 12740-5805 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Clifford R Bambach | Hcr Box 25, Rt 42, Grahamsville, NY 12740 | Engineer-in-training | 1996-11-12 ~ 2006-11-12 |
| Ronald D Barr | 269 S Hill Rd, Grahamsville, NY 12740 | Electrical Limited Contractor | ~ |
| Woodie J Cyr Jr · Woodie's Construction Service | 12 Berry Ln, Grahamsville, NY 12740-5955 | Home Improvement Contractor | 2020-04-03 ~ 2020-11-30 |
| Randy P Klutts | 7262 State Route 42, Grahamsville, NY 12740-7004 | Registered Nurse - Temporary | 2009-05-20 ~ 2009-09-17 |
| Mareena Nicole Dimilia | 7717 State Route 42, Grahamsville, NY 12740-7011 | Registered Nurse | 2019-06-01 ~ 2020-05-31 |
| City | GRAHAMSVILLE |
| Zip Code | 12740 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + GRAHAMSVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessie A Kelly | P.o. Box 601, Little Falls, NY 13365 | Physical Therapist | 2004-08-02 ~ 2005-08-31 |
| Kelly Ann Gankos | 21 Bragdon Ave, Danbury, CT 06811 | Physical Therapist | ~ |
| Kelly J Stephan | 3 Mayo Ave, Oakdale, CT 06370-1683 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Kelly R Fry | P.o. Box 2286, Clarkesville, GA 30523 | Physical Therapist Assistant | 2007-02-12 ~ 2008-03-31 |
| Patricia A Kelly | Via Delle, Firenze, 50144 | Physical Therapist | 2005-01-28 ~ 2006-02-28 |
| Matthew Kelly | 9 Hofstra Dr, Smithtown, NY 11787-2018 | Physical Therapist | 2019-08-01 ~ 2020-04-30 |
| Kelly A Allen | 419 Griswold Rd, Wethersfield, CT 06109-3632 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Kelly M Chick | 335 Cliveden Ave, Glenside, PA 19038-3509 | Physical Therapist | ~ 1995-10-31 |
| Susan S Kelly | 14 Katie Joe Ln, Branford, CT 06405-4761 | Physical Therapist | 2017-11-01 ~ 2018-10-31 |
| Kelly Q White | 29 Skyview Ter, Manchester, CT 06040-7077 | Physical Therapist | 2012-06-01 ~ 2013-05-31 |
Please comment or provide details below to improve the information on KELLY L BUCHSBAUM.
| 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).