JESSICA RUCKEL MICOCCI
Physical Therapist


Address: 40 Eastern Ave, Malden, MA 02148-5014

JESSICA RUCKEL MICOCCI (Credential# 944635) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2011. The license expiration date date is August 31, 2012. The license status is INACTIVE.

Business Overview

JESSICA RUCKEL MICOCCI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008888. The credential type is physical therapist. The effective date is September 1, 2011. The expiration date is August 31, 2012. The business address is 40 Eastern Ave, Malden, MA 02148-5014. The current status is inactive.

Basic Information

Licensee Name JESSICA RUCKEL MICOCCI
Credential ID 944635
Credential Number 14.008888
Credential Type Physical Therapist
Business Address 40 Eastern Ave
Malden
MA 02148-5014
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-08-17
Effective Date 2011-09-01
Expiration Date 2012-08-31
Refresh Date 2012-12-05

Office Location

Street Address 40 EASTERN AVE
City MALDEN
State MA
Zip Code 02148-5014

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Pauline M Riddoch 40 Eastern Ave, Malden, MA 02148 Registered Nurse 2006-05-15 ~ 2007-05-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Stephanie E Fappiano 1 Glenwood St, Malden, MA 02148 Registered Nurse 2020-06-01 ~ 2021-05-31
William J Theisen 2 Ridgewood Road, Malden, MA 02148 Registered Nurse 2020-05-01 ~ 2021-04-30
Emily Elizabeth Gregonis 1538 Eastern Ave, Malden, MA 02148 Registered Nurse ~
Meghan Riley 1182 Fellsway, Malden, MA 02148 Registered Nurse 2020-03-01 ~ 2021-02-28
Jeffrey A Manning 68 Princeton Rd., Malden, MA 02148 Professional Engineer 2020-02-01 ~ 2021-01-31
Kenneth J Petraglia 102 Rich St, Malden, MA 02148 Professional Engineer 2019-06-14 ~ 2020-01-31
Keri L Pyke 7 Preston St, Malden, MA 02148 Professional Engineer 2020-02-01 ~ 2021-01-31
Sudhir Suresh 192 Kennedy Dr Apt# 209, Malden, MA 02148 Professional Engineer 2020-02-01 ~ 2021-01-31
Chelsea A Clifford 10 Overlook Ridge Drive, Malden, MA 02148 Pharmacist 2020-02-01 ~ 2022-01-31
Brandon K Lejeune 500 Pleasant Street, Malden, MA 02148 Certified Public Accountant License 2020-01-01 ~ 2020-12-31
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Competitor

Search similar business entities

City MALDEN
Zip Code 02148
License Type Physical Therapist
License Type + County Physical Therapist + MALDEN

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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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