ALISA J VAN DOMBURG-SCIPIO
Occupational Therapist


Address: 200 Soapstone Rd, Ludlow, VT 05149-9787

ALISA J VAN DOMBURG-SCIPIO (Credential# 776243) is licensed (Occupational Therapist) with Connecticut Department of Consumer Protection. The license effective date is June 15, 2009. The license expiration date date is July 31, 2011. The license status is INACTIVE.

Business Overview

ALISA J VAN DOMBURG-SCIPIO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.003409. The credential type is occupational therapist. The effective date is June 15, 2009. The expiration date is July 31, 2011. The business address is 200 Soapstone Rd, Ludlow, VT 05149-9787. The current status is inactive.

Basic Information

Licensee Name ALISA J VAN DOMBURG-SCIPIO
Credential ID 776243
Credential Number 48.003409
Credential Type Occupational Therapist
Business Address 200 Soapstone Rd
Ludlow
VT 05149-9787
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL; PRIOR DISCIPLINE
Issue Date 2008-01-30
Effective Date 2009-06-15
Expiration Date 2011-07-31
Refresh Date 2011-11-07

Office Location

Street Address 200 SOAPSTONE RD
City LUDLOW
State VT
Zip Code 05149-9787

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Jarrod J Jowdy 156 Main St Apt D, Ludlow, VT 05149 Real Estate Broker 2020-04-01 ~ 2021-03-31
Jane E Rebhan 442 Rod & Gun Club Rd, Ludlow, VT 05149 Pharmacist 2020-02-01 ~ 2022-01-31
South Face Village At Okemo Trailside Road, Ludlow, VT 05149 Interstate Land Sales Registration 2020-01-01 ~ 2020-12-31
Roger V Woods 1787 Route 100 N, Ludlow, VT 05149 Registered Nurse 2019-08-01 ~ 2020-07-31
David C Almond 44 South Hill Estates, Ludlow, VT 05149 Certified Public Accountant License 1999-01-01 ~ 1999-12-31
Jeffrey D Rosen P.o. Box 558, Ludlow, VT 05149 Physician/surgeon 2011-03-01 ~ 2012-02-29
Regina C Springer Pa 111 Route 100 North, Ludlow, VT 05149 Physician Assistant 2005-07-21 ~ 2006-07-31
Lawrence B Ahrens Md 463 E Lake Rd, Ludlow, VT 05149 Physician/surgeon 1999-06-08 ~ 2000-07-31
Donna L Parker Rr #1 Box 230, Ludlow, VT 05149 Licensed Practical Nurse 1994-09-27 ~ 1995-09-30
Lynn C Fehrenbach 14 Okemo Heights, Ludlow, VT 05149 Registered Nurse 2001-04-13 ~ 2002-05-31
Find all Licenses in zip 05149

Competitor

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City LUDLOW
Zip Code 05149
License Type Occupational Therapist
License Type + County Occupational Therapist + LUDLOW

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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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