JOSEPH MICKELSON (Credential# 1663043) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 6, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
JOSEPH MICKELSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.012358. The credential type is physical therapist. The effective date is August 6, 2019. The expiration date is July 31, 2020. The business address is 115 Mutton Hill Rd, Neversink, NY 12765-5029. The current status is active.
| Licensee Name | JOSEPH MICKELSON |
| Credential ID | 1663043 |
| Credential Number | 14.012358 |
| Credential Type | Physical Therapist |
| Business Address |
115 Mutton Hill Rd Neversink NY 12765-5029 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-08-06 |
| Effective Date | 2019-08-06 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-08-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1667414 | 14.012257-TEMP | PT Temporary Permit | 2019-06-04 | 2019-06-10 - 2019-10-04 | INACTIVE |
| Street Address | 115 MUTTON HILL RD |
| City | NEVERSINK |
| State | NY |
| Zip Code | 12765-5029 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Allen F. Wachter Dvm | 258 Meyers Road, Neversink, NY 12765 | Veterinarian | 2011-08-01 ~ 2012-07-31 |
| Michael J Glinski | Po Box 582, Neversink, NY 12765-0582 | Emergency Medical Technician | 2020-05-01 ~ 2022-03-31 |
| City | NEVERSINK |
| Zip Code | 12765 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + NEVERSINK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Victoria B Stone · Mickelson | 67 Stannard Ave., Branford, CT 06405 | Massage Therapist | 2010-11-01 ~ 2012-10-31 |
| Joseph M Belanger | Po Box 804, Portland, CT 06480-0804 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Jay J Correia | 12 Joseph Ct, Shelton, CT 06484-4379 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Joseph D Tatta | Po Box 61, South Kent, CT 06785-0061 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Joseph F Gudel | 333 Willoughby Ave Fl 9, Juneau, AK 99801-1770 | Physical Therapist | 2017-08-04 ~ 2017-10-31 |
| Joseph G Esposito | Po Box 3581, Newtown, CT 06470-3581 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Joseph A Matera | 7 Broward Dr, New City, NY 10956-2701 | Physical Therapist | 2011-11-16 ~ 2012-05-31 |
| Joseph E Laroche | 144 Grand Ave, Manchester, NH 03109-4102 | Physical Therapist | 2009-06-18 ~ 2010-08-31 |
| Joseph V Ciarleglio | 45 Sky Meadow Rd, Bethlehem, CT 06751-1511 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Joseph J Slivinsky | 37 Hunter Rd, Tolland, CT 06084 | Physical Therapist | 1993-10-25 ~ 1994-10-31 |
Please comment or provide details below to improve the information on JOSEPH MICKELSON.
| 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).