LISA A VIVIAN (Credential# 693190) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
LISA A VIVIAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.007615. The credential type is physical therapist. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 34 Mass Ave., Longmeadow, MA 01106. The current status is active.
| Licensee Name | LISA A VIVIAN |
| Credential ID | 693190 |
| Credential Number | 14.007615 |
| Credential Type | Physical Therapist |
| Business Address |
34 Mass Ave. Longmeadow MA 01106 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-11-10 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-03-03 |
| Street Address | 34 Mass Ave. |
| City | Longmeadow |
| State | MA |
| Zip Code | 01106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael S Caronna | 24 Chandler Ave, Longmeadow, MA 01106 | Registered Sanitarian | 2020-09-01 ~ 2021-08-31 |
| Susan Helen Templeton | 146 Pleasantview Avenue, Longmeadow, MA 01106 | Registered Nurse | ~ |
| Brittany Moreland | 103 Birchwood Ave, Longmeadow, MA 01106 | Real Estate Salesperson | 2020-06-22 ~ 2021-05-31 |
| Krystyna Olczuk | 158 Tanglewood Dr, Longmeadow, MA 01106 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Susan M Neville | 43 Lincoln Road, Longmeadow, MA 01106 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kate E Schoenberger | 91 Williston Dr, Longmeadow, MA 01106 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Bryant E Ostrander | 52 Whitmun Road, Longmeadow, MA 01106 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Minsook Ku | 23 Herbert Street, Longmeadow, MA 01106 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-12 ~ 2022-01-31 |
| Lily Schneider | 160 Captain Rd, Longmeadow, MA 01106 | Emergency Medical Technician | ~ |
| Kimberly Marie Maynard | 175 Franklin Road, Longmeadow, MA 01106 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 01106 | |||
| City | Longmeadow |
| Zip Code | 01106 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + Longmeadow |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vivian P Virga | 6770 Sr 207, Elkton, FL 32033 | Physical Therapist | 1995-10-12 ~ 1996-11-30 |
| Vivian K Denardo | 35 Carmalt Rd, Hamden, CT 06517 | Physical Therapist | 2012-07-01 ~ 2013-06-30 |
| Vivian E Falco | 71 Old Logging Road, Bedford, NY 10506 | Physical Therapist | 2003-07-21 ~ 2004-08-31 |
| Lisa M Braughler | Rr #1 Box 183, Punxsutawney, PA 15767 | Physical Therapist | ~ 1998-09-30 |
| Lisa M Harvey | 72 High St # 2, Rye, NY 10580-1506 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Lisa J Sheehan | Po Box 422, Old Saybrook, CT 06475-0422 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Lisa M Pacifico | 10 Paddock Ln, Norwich, CT 06360-5031 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Lisa A Mammano | 963 Lexington Ave Apt 4f, New York, NY 10021-5112 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Lisa J Taylor | P.o. Box 1452, Sharon, CT 06069 | Physical Therapist | 2004-07-29 ~ 2005-08-31 |
| Lisa E Murphy | 37 Tunxis Rd, Newington, CT 06111-3442 | Physical Therapist | 1997-07-28 ~ 1998-08-31 |
Please comment or provide details below to improve the information on LISA A VIVIAN.
| 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).