LISA M. KOCZAK (Credential# 907932) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
LISA M. KOCZAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008736. The credential type is physical therapist. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 15 Surrey Dr, Madison, CT 06443-8120. The current status is active.
| Licensee Name | LISA M. KOCZAK |
| Credential ID | 907932 |
| Credential Number | 14.008736 |
| Credential Type | Physical Therapist |
| Business Address |
15 Surrey Dr Madison CT 06443-8120 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-02-02 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 910574 | 14.008957-TEMP | PT Temporary Permit | 2010-01-12 - 2010-04-14 | INACTIVE |
| Street Address | 15 SURREY DR |
| City | MADISON |
| State | CT |
| Zip Code | 06443-8120 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jacquelyn M Carbone | 35 Surrey Dr, Madison, CT 06443-8120 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Joseph M Carbone | 35 Surrey Dr, Madison, CT 06443-8120 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Caitlyn Beverly Darosa | Lyle Dr, Madison, CT 06443 | Registered Nurse | ~ |
| Roberts Food Center · Rjf Inc Dba | 514 Old Toll Rd, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Karen D Leonetti · Rapuano | 553 Green Hill Rd, Madison, CT 06443 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Pasquale Sabatasso | 122 River Edge Farms Road, Madison, CT 06443 | Barber | 2020-07-01 ~ 2022-06-30 |
| Madision Health Foods · Jum Ok Coker | 59 Wall St, Madison, CT 06443 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Madison Community Services Inc. | P.o. Box 148, Madison, CT 06443 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Shaina Michele Levinson | 52 East Wharf Rd, Madison, CT 06443 | Master's Level Social Worker | ~ |
| Stephen G Lynch · Lynch, Stephen Gerard | 12 Milestone Lane, Madison, CT 06443 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| David F Courtney Md | 38 Old Duck Hole Road, Madison, CT 06443 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sydni E Marmor | 560 Opening Hill Road, Madison, CT 06443 | Professional Counselor | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06443 | |||
| City | MADISON |
| Zip Code | 06443 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + MADISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa M Braughler | Rr #1 Box 183, Punxsutawney, PA 15767 | Physical Therapist | ~ 1998-09-30 |
| Lisa J Sheehan | Po Box 422, Old Saybrook, CT 06475-0422 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Lisa M Harvey | 72 High St # 2, Rye, NY 10580-1506 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Lisa Lynette Sink | 822 S 7th St, Montrose, CO 81401-4444 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Lisa M Hodgson | 329 Firetown Rd, Simsbury, CT 06070-1641 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Lisa Riolo | 7 Timothy Dr, Middletown, CT 06457 | Physical Therapist | 1994-04-26 ~ 1995-05-31 |
| Lisa E Murphy | 37 Tunxis Rd, Newington, CT 06111-3442 | Physical Therapist | 1997-07-28 ~ 1998-08-31 |
| 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 M Wakem | 90 Maple Ave, Scarborough, ME 04074 | Physical Therapist | 1992-05-27 ~ 1993-05-31 |
Please comment or provide details below to improve the information on LISA M. KOCZAK.
| 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).