BROOKE D MARCOCCIA (Credential# 787019) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 31, 2005. The license expiration date date is November 1, 2006. The license status is INACTIVE.
BROOKE D MARCOCCIA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000878. The credential type is physical therapist assistant. The effective date is August 31, 2005. The expiration date is November 1, 2006. The business address is 9303 Osprey Bay Cr., Davisburg, MI 48350. The current status is inactive.
| Licensee Name | BROOKE D MARCOCCIA |
| Credential ID | 787019 |
| Credential Number | 63.000878 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
9303 Osprey Bay Cr. Davisburg MI 48350 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2005-08-31 |
| Effective Date | 2005-08-31 |
| Expiration Date | 2006-11-01 |
| Refresh Date | 2009-07-08 |
| Street Address | 9303 Osprey Bay Cr. |
| City | Davisburg |
| State | MI |
| Zip Code | 48350 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barbara A Kin | 8268 Pine Lake Dr, Davisburg, MI 48350 | Advanced Practice Registered Nurse | 1993-01-25 ~ 1993-11-30 |
| Anita R Vanderstelt | 6225 Wertz, Davisburg, MI 48350-3547 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| City | Davisburg |
| Zip Code | 48350 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + Davisburg |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brooke M Haarmann | 9245 N. 1550th Road, Effingham, IL 62401 | Physical Therapist Assistant | 2010-02-01 ~ 2011-01-31 |
| Brooke E Whitfield | 30 Barber Rd, Woodstock, CT 06281-2700 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Brooke F Bluege | 37 Titus Coan Rd, Killingworth, CT 06419-1446 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Brooke Malanga | 818 Woodlawn Ave, Wilmington, NC 28401-7232 | Physical Therapist | 2013-01-09 ~ 2013-10-31 |
| Brooke Uliano | 47 Northfield Rd, Wallingford, CT 06492-5246 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Jolie S Rappaport | 6212 Town Brooke, Middletown, CT 06457-6616 | Occupational Therapist Assistant | 2000-08-14 ~ 2001-07-31 |
| Brooke Elefant | 105 Mohawk Dr, West Hartford, CT 06117-2230 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Brooke H Peck | 73 Wardwell Rd, West Hartford, CT 06107-3003 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Jana D Larson | 1222 Town Brooke, Middletown, CT 06457 | Physical Therapist | 2000-09-27 ~ 2001-10-31 |
| Jessica L Domis | 4334 Town Brooke, Middletown, CT 06457-6613 | Physical Therapist | 2014-01-02 ~ 2015-01-31 |
Please comment or provide details below to improve the information on BROOKE D MARCOCCIA.
| 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).