MELISSA M MIKUSKI
Physical Therapist


Address: 4219 Owl Creek Dr, Madison, WI 53718-4409

MELISSA M MIKUSKI (Credential# 693873) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2013. The license expiration date date is August 31, 2014. The license status is INACTIVE.

Business Overview

MELISSA M MIKUSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008298. The credential type is physical therapist. The effective date is September 1, 2013. The expiration date is August 31, 2014. The business address is 4219 Owl Creek Dr, Madison, WI 53718-4409. The current status is inactive.

Basic Information

Licensee Name MELISSA M MIKUSKI
Credential ID 693873
Credential Number 14.008298
Credential Type Physical Therapist
Business Address 4219 Owl Creek Dr
Madison
WI 53718-4409
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-03-26
Effective Date 2013-09-01
Expiration Date 2014-08-31
Refresh Date 2014-12-11

Office Location

Street Address 4219 OWL CREEK DR
City MADISON
State WI
Zip Code 53718-4409

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Competitor

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City MADISON
Zip Code 53718
License Type Physical Therapist
License Type + County Physical Therapist + MADISON

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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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