JED EDISON M EVANGELISTA (Credential# 1325952) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2017. The license expiration date date is February 28, 2018. The license status is INACTIVE.
JED EDISON M EVANGELISTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011068. The credential type is physical therapist. The effective date is March 1, 2017. The expiration date is February 28, 2018. The business address is Blk2 Lot5 Ferlins Subd.san Vicente, Binan City Laguna, PH 4024. The current status is inactive.
| Licensee Name | JED EDISON M EVANGELISTA |
| Credential ID | 1325952 |
| Credential Number | 14.011068 |
| Credential Type | Physical Therapist |
| Business Address |
Blk2 Lot5 Ferlins Subd.san Vicente Binan City Laguna PH 4024 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-07-29 |
| Effective Date | 2017-03-01 |
| Expiration Date | 2018-02-28 |
| Refresh Date | 2018-06-03 |
| Street Address | BLK2 LOT5 FERLINS SUBD.SAN VICENTE |
| City | BINAN CITY LAGUNA |
| State | PH |
| Zip Code | 4024 |
| City | BINAN CITY LAGUNA |
| Zip Code | 4024 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + BINAN CITY LAGUNA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vea Eunice G Evangelista | San Vicente Binan City, Laguna, PH 4024 | Physical Therapist | 2017-08-01 ~ 2018-07-31 |
| Edison S Violeta | 502 South St Apt B1, Bristol, CT 06010-6517 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| David A Chessen | 11 Gentore Ct, Edison, NJ 08820-1029 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Joanne M Joaquin | 100 Metroplex Dr Ste 102, Edison, NJ 08817-2684 | Physical Therapist | 2010-04-01 ~ 2011-03-31 |
| Mercy Jayakumar | 515 Parsonage Road, Edison, NJ 08837 | Physical Therapist | ~ |
| Khushboo Bhagat | 514 Cinder Rd, Edison, NJ 08820 | Physical Therapist | 2018-09-01 ~ 2019-08-31 |
| Gaurav Kekatpure | 23 H Reading Rd, Edison, NJ 08817 | Physical Therapist | 2016-03-01 ~ 2017-02-28 |
| Edison L Uy | 1211 Semoran Blvd Ste 227, Casselberry, FL 32707-6442 | Physical Therapist | 2012-08-08 ~ 2012-12-31 |
| Foram S Desai | 7 Casey Avenue, Edison, NJ 08817 | Physical Therapist | 2007-06-20 ~ 2008-06-30 |
| Britt Leigh Gunsser | 6 Sandia Court, Edison, NJ 08820 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
Please comment or provide details below to improve the information on JED EDISON M EVANGELISTA.
| 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).