JESSICA T KSIAZEK (Credential# 1165955) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2017. The license expiration date date is March 31, 2018. The license status is INACTIVE.
JESSICA T KSIAZEK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009880. The credential type is physical therapist. The effective date is April 1, 2017. The expiration date is March 31, 2018. The business address is 125 Cherokee Blvd Apt 303, Chattanooga, TN 37405-3895. The current status is inactive.
| Licensee Name | JESSICA T KSIAZEK |
| Credential ID | 1165955 |
| Credential Number | 14.009880 |
| Credential Type | Physical Therapist |
| Business Address |
125 Cherokee Blvd Apt 303 Chattanooga TN 37405-3895 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-08-01 |
| Effective Date | 2017-04-01 |
| Expiration Date | 2018-03-31 |
| Refresh Date | 2018-07-04 |
| Street Address | 125 CHEROKEE BLVD APT 303 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37405-3895 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelly A Lindberg | 328 Cherokee Blvd Apt 262, Chattanooga, TN 37405 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Mary Katelyn Shaw | 815 Mt. Vernon Ave, Chattanooga, TN 37405 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Sean M Harper | 1185 Mountain Creek Rd Apt# 1314, Chattanooga, TN 37405 | Electrical Unlimited Journeyperson | 2019-10-01 ~ 2020-09-30 |
| Stephanie J Hamel | 326 B Thompson St, Chattanooga, TN 37405 | Registered Nurse | 2012-03-15 ~ 2013-04-30 |
| Becki A Chastain | 1823 Auburndale Ave, Chattanooga, TN 37405-1403 | Registered Nurse | 2018-07-01 ~ 2019-06-30 |
| Marvin C Culbertson IIi | 1001 Summer St, Chattanooga, TN 37405-2948 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| James L. Wagner | 1608 Riverview Rd, Chattanooga, TN 37405-3131 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Pamela G Roberts | 1330 Hixson Pike, Chattanooga, TN 37405-3141 | Registered Nurse - Temporary | 2016-12-12 ~ 2017-04-10 |
| Diane Pennell Walton | 215 Baker St, Chattanooga, TN 37405-4103 | Registered Nurse | 2011-10-01 ~ 2012-09-30 |
| May Dee Gemilo | 900 Mountain Creek Rd Apt R297, Chattanooga, TN 37405-4515 | Registered Nurse - Temporary | 2017-01-05 ~ 2017-05-04 |
| Find all Licenses in zip 37405 | |||
| City | CHATTANOOGA |
| Zip Code | 37405 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + CHATTANOOGA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica E Leger | 93 Brantwood Rd Apt 1, Worcester, MA 01602-1771 | Physical Therapist | ~ |
| Jessica G Monteleone | 106 George Ellis Pt. Rd., Freeport, FL 32439 | Physical Therapist | ~ |
| Jessica M Drukin | 21 Fairview Ave., Tuckahoe, NY 10707 | Physical Therapist | 2006-10-23 ~ 2007-10-31 |
| Jessica M Graham | 23 Argent Dr, Poughkeepsie, NY 12603-6040 | Physical Therapist | 2019-04-01 ~ 2020-03-31 |
| Jessica Buckley | 41 Crofut Rd, Naugatuck, CT 06770-1502 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Jessica Drummond | 40 Eastlawn St, Fairfield, CT 06824-6418 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Jessica L Zager | 15 Redcoat Ln, Trumbull, CT 06611-2131 | Physical Therapist | 2017-07-10 ~ 2018-07-31 |
| Jessica L Bassett | 35 Watson Rd, Vernon, CT 06066-3905 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Jessica Lee Prior | 349 Pokorny Rd, Higganum, CT 06441-4418 | Physical Therapist | 2019-11-04 ~ 2020-09-30 |
| Jessica T Maloney | 15 Roberta Ln, Greenwich, CT 06830-3953 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on JESSICA T KSIAZEK.
| 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).