TARA BASILE (Credential# 1647017) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is December 31, 2019. The license status is INACTIVE.
TARA BASILE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.012311. The credential type is physical therapist. The effective date is August 1, 2019. The expiration date is December 31, 2019. The business address is 1521 Lakeside Dr, Wantagh, NY 11793-2441. The current status is inactive.
| Licensee Name | TARA BASILE |
| Credential ID | 1647017 |
| Credential Number | 14.012311 |
| Credential Type | Physical Therapist |
| Business Address |
1521 Lakeside Dr Wantagh NY 11793-2441 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2019-08-01 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2019-12-31 |
| Refresh Date | 2020-06-08 |
| Street Address | 1521 LAKESIDE DR |
| City | WANTAGH |
| State | NY |
| Zip Code | 11793-2441 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William H Devlin | 3125 Lawrence Pl, Wantagh, NY 11793 | Architect | 2020-08-01 ~ 2021-07-31 |
| Action Remediation Inc. | 3010 Burns Avenue, Wantagh, NY 11793 | Asbestos Contractor | 2019-01-01 ~ 2019-12-31 |
| Jessica M Phelan | 96 Trellis Lane, Wantagh, NY 11793 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Lauren K Fagan | 345 Red Maple Dr S, Wantaugh, NY 11793 | Audiologist | 2020-06-01 ~ 2021-05-31 |
| Mary Elizabeth Walsh | 3278 Woodward Ave., Wantagh, NY 11793 | Registered Nurse | ~ |
| Michael P Loney | 1372 Chelsea Rd, Wantagh, NY 11793 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Cyrus Joseph Izzo | 3454 Island Road, Wantagh, NY 11793 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Steven M Pires | 42 Wisteria Lane, Wantagh, NY 11793 | Notary Public Appointment | 2007-03-22 ~ 2012-03-31 |
| Lyncean Ung | 815 Park Drive, New York, NY 11793 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Denise E Breeze | 2845 Charles Rd, Wantagh, NY 11793 | Pharmacy Intern | 2018-09-06 ~ 2022-09-30 |
| Find all Licenses in zip 11793 | |||
| City | WANTAGH |
| Zip Code | 11793 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + WANTAGH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lorri A Basile · Ryan | 98 Cricket Dr., Sturbridge, MA 01566 | Physical Therapist | 2004-09-27 ~ 2005-09-30 |
| Tara P Basile | 111 Dodge Ave, East Haven, CT 06512-3337 | Professional Counselor | 2019-10-01 ~ 2020-09-30 |
| Tara Monica L Rante | Bacdor, PH 4102 | Physical Therapist | ~ |
| Tara C Gibson | 10 E Hills Dr, New Canaan, CT 06840-5624 | Physical Therapist | 2019-08-29 ~ 2019-12-31 |
| Sarah E Gravel | 20 Tara Rd, Peabody, MA 01960-6262 | Physical Therapist | 2018-09-04 ~ 2019-09-30 |
| John Benke | 4 Tara Way, Tuckaroe, NY 10707 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Tara M Donnelly | 327 Northington Dr, Avon, CT 06001-2356 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Tara J Beaulieu | 47 Overlook Dr, Westbrook, ME 04092-2552 | Physical Therapist | 2017-11-01 ~ 2018-10-31 |
| Tara Majmudar | 2101 8th Ave Apt 5b, New York, NY 10026-3470 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Tara Silvaggio | 735 Post Rd E, Westport, CT 06880-5219 | Physical Therapist | 2018-10-01 ~ 2019-09-30 |
Please comment or provide details below to improve the information on TARA BASILE.
| 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).