DANA M PISCULICH (Credential# 775904) is licensed (Occupational Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 20, 2004. The license expiration date date is July 31, 2005. The license status is INACTIVE.
DANA M PISCULICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.003070. The credential type is occupational therapist. The effective date is August 20, 2004. The expiration date is July 31, 2005. The business address is 1263 Emilie Street, Green Bay, WI 54301. The current status is inactive.
| Licensee Name | DANA M PISCULICH |
| Credential ID | 775904 |
| Credential Number | 48.003070 |
| Credential Type | Occupational Therapist |
| Business Address |
1263 Emilie Street Green Bay WI 54301 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2004-08-20 |
| Effective Date | 2004-08-20 |
| Expiration Date | 2005-07-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 1263 Emilie Street |
| City | Green Bay |
| State | WI |
| Zip Code | 54301 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donna J Boehm | 809 S. Adams Street, Greenbay, WI 54301 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Cynthia L Jones | 532 Arrowhead Dr., Greenbay, WI 54301 | Licensed Clinical Social Worker | 2008-06-26 ~ 2009-07-31 |
| Kimberly L Cichocki | 1264 Cherry St, Green Bay, WI 54301 | Registered Nurse | 1999-10-22 ~ 2000-09-30 |
| Jared R Vanden Branden | 2513 S. Webster, Green Bay, WI 54301 | Respiratory Care Practitioner | 2004-08-02 ~ 2005-03-31 |
| Elizabeth A Hoppen | 3901 East River Dr, Green Bay, WI 54301 | Emergency Medical Technician | ~ 1997-04-01 |
| George R Hoppen | 3646 Ulmcrest Crt, Green Bay, WI 54301 | Professional Engineer | 1997-02-01 ~ 1998-01-31 |
| Derek T O'dell | 535 Gwynn St, Green Bay, WI 54301-1058 | Public Service Technician - Telephone | 2008-10-03 ~ 2009-09-30 |
| Mei Fredeen | 523 Chardonnay Ct, Green Bay, WI 54301-1401 | Emergency Medical Technician | 2019-08-06 ~ 2022-06-30 |
| David E Laurent | 234 Coolidge St, Green Bay, WI 54301-1616 | Public Service Technician - Telephone | 2008-10-03 ~ 2009-09-30 |
| Shawn B Backus | 2221 S Webster Ave Ste A160, Green Bay, WI 54301-2158 | Registered Nurse | 2017-06-01 ~ 2018-06-30 |
| Find all Licenses in zip 54301 | |||
| City | Green Bay |
| Zip Code | 54301 |
| License Type | Occupational Therapist |
| License Type + County | Occupational Therapist + Green Bay |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dana M Begin | 283 Still Hill Rd, Hamden, CT 06518-1830 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Dana H Nazario | 817 Meriden Rd, Waterbury, CT 06705-2433 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Dana D'amore | 91 Surrey Rd, Stamford, CT 06903-3215 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Dana L Cost | 17722 N 79th Ave, Glendale, AZ 85308 | Occupational Therapist | 2005-06-27 ~ 2007-07-31 |
| Dana M Howell | 17145 131st Ave Ne, Woodinville, WA 98072 | Occupational Therapist | 1995-07-12 ~ 1997-07-31 |
| Dana J Steniger | 260 Shetucket Tpke, Voluntown, CT 06384-1412 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Dana M Billings | 20 Lake Drive, Oxford, CT 06478 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Dana Rose Costabile | 2 Putnam Ln, Danbury, CT 06810-1515 | Occupational Therapist | 2019-08-12 ~ 2021-07-31 |
| Dana Kalksma | 223 Radnor Ave, Pine Beach, NJ 08741 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Dana Valcarcel Town | 301 Hubbard Avenue, Stamford, CT 06905 | Occupational Therapist | 2019-10-07 ~ 2021-07-31 |
Please comment or provide details below to improve the information on DANA M PISCULICH.
| 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).