LEESA J MASTELLER
Physical Therapist


Address: Rd #3 Boc 195, Bloomburg, PA 17815

LEESA J MASTELLER (Credential# 691895) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license expiration date date is February 28, 1999. The license status is INACTIVE.

Business Overview

LEESA J MASTELLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.006320. The credential type is physical therapist. The expiration date is February 28, 1999. The business address is Rd #3 Boc 195, Bloomburg, PA 17815. The current status is inactive.

Basic Information

Licensee Name LEESA J MASTELLER
Credential ID 691895
Credential Number 14.006320
Credential Type Physical Therapist
Business Address Rd #3 Boc 195
Bloomburg
PA 17815
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-11-20
Expiration Date 1999-02-28
Refresh Date 2009-07-08

Office Location

Street Address RD #3 BOC 195
City BLOOMBURG
State PA
Zip Code 17815

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Michael H Queen 1103 Cherry Hill Rd, Bloomsburg, PA 17815 Professional Engineer 2020-02-01 ~ 2021-01-31
Matthew J Vertucci 3029 Woods Edge Dr, Bloomsburg, PA 17815 Professional Engineer 2020-02-01 ~ 2021-01-31
Gino J Mongelluzzo 213 W 3rd St, Bloomsburg, PA 17815 Resident Physician 2015-06-25 ~ 2019-06-30
Gerald R Bodman 98 Church Roadr, Bloomsburg, PA 17815 Professional Engineer 2003-02-01 ~ 2004-01-31
Tracie A Wood 117 Hemlock Lane, Bloomsburg, PA 17815 Physical Therapist 2008-10-21 ~ 2009-12-31
Helen J Lough P.o. Box 357, Bloomsburg, PA 17815 Licensed Practical Nurse 2004-09-13 ~ 2005-09-30
Jeffery O Skjoldal Jr. 76 Kile Drive, Bloomsburg, PA 17815 Asbestos Abatement Supervisor 2004-01-26 ~ 2004-04-30
Alice F Wilson 134 East 12th St, Bloomsburg, PA 17815 Registered Nurse 1992-06-25 ~ 1993-05-31
Joseph Shovlin Md 1250 Chestnut Street, Bloomburg, PA 17815 Controlled Substance Registration for Practitioner 1998-04-02 ~ 1999-02-28
Elmer J Kelly Rd 4 Box 139b, Bloomsburg, PA 17815 Heating, Piping & Cooling Limited Journeyperson ~
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Competitor

Search similar business entities

City BLOOMBURG
Zip Code 17815
License Type Physical Therapist
License Type + County Physical Therapist + BLOOMBURG

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Dataset Information

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).

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