DIANE K LONG (Credential# 689506) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
DIANE K LONG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.003812. The credential type is physical therapist. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 100 Richards Ave Apt 205, Norwalk, CT 06854-1638. The current status is active.
| Licensee Name | DIANE K LONG |
| Credential ID | 689506 |
| Credential Number | 14.003812 |
| Credential Type | Physical Therapist |
| Business Address |
100 Richards Ave Apt 205 Norwalk CT 06854-1638 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1987-12-04 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-01 |
| Street Address | 100 RICHARDS AVE APT 205 |
| City | NORWALK |
| State | CT |
| Zip Code | 06854-1638 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mangala A Dongre | 100 Richards Ave Apt 401, Norwalk, CT 06854-1638 | Dental Hygienist | 2019-11-01 ~ 2020-10-31 |
| Heather W Smith | 100 Richards Ave Apt 204, Norwalk, CT 06854-1638 | Licensed Clinical Social Worker | 2019-08-01 ~ 2020-07-31 |
| Mark A Bradley | 100 Richards Ave Apt 403, Norwalk, CT 06854-1638 | Real Estate Salesperson | 2011-06-01 ~ 2012-05-31 |
| Alexandrea Azalone | 100 Richards Ave Apt 103, Norwalk, CT 06854-1638 | Hairdresser/cosmetician | 2014-10-01 ~ 2016-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Benitez | 190 Ely Ave., Norwalk, CT 06854 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jessica Christina Andraszek | 7a Edgewood St, Norwalk, CT 06854 | Registered Nurse | ~ |
| Farrah Marin | 63 Bayview Avenue, Norwalk, CT 06854 | Master's Level Social Worker | ~ |
| Irma M Ross | 30 Lenox Ave, Norwalk, CT 06854 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Community Plates Inc. | 165 Water Street, Norwalk, CT 06854 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Roberto Arzuaga · West Cedar Grocery | 155 West Cedar St, Norwalk, CT 06854 | Grocery Beer | 2020-07-17 ~ 2021-07-16 |
| Faith Kiriakidis | 130 Flax Hill Road, Norwalk, CT 06854 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Andrew Gotlin | 1 North Water Street, Norwalk, CT 06854 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Shunxia Guan | 360 Connecticut Ste 2, Norwalk, CT 06854 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Zhenyu Quan | 360 Connecticut Ave Suit 2, Norwalk, CT 06854 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06854 | |||
| City | NORWALK |
| Zip Code | 06854 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + NORWALK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diane Damianakis-long | 38 Thunder Hill Ln, Ridgefield, CT 06877-3107 | Massage Therapist | 2018-09-01 ~ 2020-08-31 |
| Diane N Wilson | Po Box 637, Litchfield, CT 06759-0637 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Diane Caldwell | P O Box 682, New London, NH 03257 | Physical Therapist | 2007-01-08 ~ 2008-01-31 |
| Diane L Jennings | 76 Rainbow Dr, Bettendorf, IA 52722-6301 | Physical Therapist | 2010-12-01 ~ 2011-11-30 |
| Diane L Desruisseaux | 36 Walnut Dr, Hebron, CT 06248 | Physical Therapist | 2005-11-30 ~ 2006-12-31 |
| Diane K Lombardi | 4730 S 800 E, Elwood, IN 46036-8462 | Physical Therapist | 2016-06-01 ~ 2017-05-31 |
| Diane C Kirchner | 45 Dromara Rd, Guilford, CT 06437 | Physical Therapist | 2002-05-28 ~ 2003-07-31 |
| Diane M Battista | 9 Alling Ct W, Northford, CT 06472-1064 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Diane C Montague | 16 Virginia Rd, Terryville, CT 06786 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Diane L Silberman | 430 Old Sib Road, Ridgefield, CT 06877 | Physical Therapist | 1997-03-17 ~ 1998-05-31 |
Please comment or provide details below to improve the information on DIANE K LONG.
| 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).