MARIE ANTONETTE B BONGALONTA (Credential# 1189419) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2014. The license expiration date date is October 31, 2015. The license status is INACTIVE.
MARIE ANTONETTE B BONGALONTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009965. The credential type is physical therapist. The effective date is November 1, 2014. The expiration date is October 31, 2015. The business address is 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860. The current status is inactive.
| Licensee Name | MARIE ANTONETTE B BONGALONTA |
| Credential ID | 1189419 |
| Credential Number | 14.009965 |
| Credential Type | Physical Therapist |
| Business Address |
1580 Sawgrass Corporate Pkwy Ste 100 Sunrise FL 33323-2860 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2013-11-04 |
| Effective Date | 2014-11-01 |
| Expiration Date | 2015-10-31 |
| Refresh Date | 2016-02-03 |
| Street Address | 1580 SAWGRASS CORPORATE PKWY STE 100 |
| City | SUNRISE |
| State | FL |
| Zip Code | 33323-2860 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John Emmanuel P Avila | 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Jacklyn Ayeng Paumig | 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Aaron M Bautista | 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Elphie Marie Busayong | 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Marivic Lucena Diego | 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Abigaile M Del Mundo | 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860 | Physical Therapist | 2018-10-01 ~ 2019-09-30 |
| Elizabeth Abe | 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860 | Physical Therapist | 2018-06-01 ~ 2019-05-31 |
| Eonhee Lee | 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860 | Physical Therapist | 2017-08-01 ~ 2018-07-31 |
| Eungsoo Shin | 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860 | Physical Therapist | 2017-01-01 ~ 2017-12-31 |
| Mary Joylene R Along | 1580 Sawgrass Corporate Pkwy Ste 100, Sunrise, FL 33323-2860 | Physical Therapist | 2015-10-01 ~ 2016-09-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rolan Sugatan Occe�a | 1580 Sawgrass Corporate Parkway Suite #200, Sunrise, FL 33323 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Katherine So Dayego | 1580 Sawgrasss Corporate Parkway Suite#200, Sunrise, CT 33323 | Physical Therapist | ~ |
| Mary Kris Joy Alcantara Aguilo | Blk 16 Lot 2 Parkplace Brgy. San Rafael Sto. Tomas, Sto. Tomas, CT 33323 | Physical Therapist | ~ |
| Nicholas Hogan Dibble | 11630 Nw 26th Street, Plantation, FL 33323 | Physical Therapist | 2019-06-13 ~ 2019-11-30 |
| Joseph Levi Staggenborg | 1301 Concord Terrace, Sunrise, FL 33323 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Kalenina Nathalia A Javier | 1580 Sawgrass Corporate Parkway, Suite 200, Sunrise, FL 33323 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
| Maureen A Doherty | 1613 N. Harrison Parkway, Sunrise, FL 33323 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Candice Mae Franco Calonia | Medpro Health Care Staffing, Sunrise, FL 33323 | Physical Therapist | 2019-11-01 ~ 2020-11-30 |
| Estreno Pharmaceuticals LLC | 1560 Sawgrass Corporate Parkway, 4th Floor, Sunrise, FL 33323 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2019-08-01 ~ |
| Alicia Arpa | 1340 Concord Terrace, Sunrise, FL 33323 | Registered Nurse - Temporary | 2019-02-19 ~ 2019-06-19 |
| Find all Licenses in zip 33323 | |||
| City | SUNRISE |
| Zip Code | 33323 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + SUNRISE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nina Antonette Michelle V Lavina | 1211 State Road 436 Ste 227, Casselberry, FL 32707-6442 | Physical Therapist | ~ |
| Kristine Antonette Luz Nidea | 43-a 11th Street, Corner Victoria Ave., New Manila, Quezon City, PH 4400 | Physical Therapist | ~ |
| Antonette Marie Cassie | 17914 Anderson Rd, Jamaica, NY 11434-3404 | Registered Nurse | 2017-05-04 ~ 2018-01-31 |
| Gina Marie A Young | #13 Gen Echavez Ext., 6000 | Physical Therapist | ~ |
| Elisa Marie Labelle | New York, NY 10025-2433 | Physical Therapist | 2016-07-01 ~ 2017-06-30 |
| Marie G Nierenberg | 21 Salem St, Northford, CT 06472-1663 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Marie M Peck | 206 Newton St, Kensington, CT 06037 | Physical Therapist | 2014-10-01 ~ 2015-09-30 |
| Sarah Marie Parker | Po Box 463, Middlefield, MA 01243-0463 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Ashley Marie Klein | 17 Salem Rd, Woodbridge, CT 06525 | Physical Therapist | ~ |
| Marie G Savage | 21 Rivergate Dr, Cromwell, CT 06416 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
Please comment or provide details below to improve the information on MARIE ANTONETTE B BONGALONTA.
| 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).