JAMES M WALLER (Credential# 1031906) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JAMES M WALLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009295. The credential type is physical therapist. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 3 Wychwood Rd, Old Lyme, CT 06371-1838. The current status is active.
| Licensee Name | JAMES M WALLER |
| Credential ID | 1031906 |
| Credential Number | 14.009295 |
| Credential Type | Physical Therapist |
| Business Address |
3 Wychwood Rd Old Lyme CT 06371-1838 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-02-06 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 880553 | 72.002346 | Paramedic | 2008-04-17 | 2020-07-01 - 2021-06-30 | ACTIVE |
| Street Address | 3 WYCHWOOD RD |
| City | OLD LYME |
| State | CT |
| Zip Code | 06371-1838 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shore Points Housewrights LLC | 15 Wychwood Rd, Old Lyme, CT 06371-1838 | Home Improvement Contractor | 2019-12-09 ~ 2020-11-30 |
| Robert Castonguay Jr · Castonguay Builders | 15 Wychwood Rd, Old Lyme, CT 06371-1838 | Home Improvement Contractor | 1996-12-01 ~ 1997-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| E Russell Learned | 82 Norwich-salem Rd, Lyme, CT 06371 | Architect | 2020-08-01 ~ 2021-07-31 |
| Joann M Reis | 75 Swan Ave, Old Lyme, CT 06371 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Michele K Griswold | 7 Osprey Road, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Brenda A Moriarty | 53 Brown's Lane, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Olaf J Ogland | 17 Jericho Drive, Old Lyme, CT 06371 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Anne Burns | 60 Saltaire Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Lori A Volles | 67 Sterling Hill Rd, Lyme, CT 06371 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Derek J Lachance | 7 Sunset Drive, Old Lyme, CT 06371 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Vincenzo Jerome Marafito | 14-1 Bailey Rd, Old Lyme, CT 06371 | Master's Level Social Worker | ~ |
| All Pro Automotive | 147 Boston Post Rd, Old Lyme, CT 06371 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06371 | |||
| City | OLD LYME |
| Zip Code | 06371 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + OLD LYME |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emily H Waller | 33 Linden Rd, Woodbury, CT 06798-2828 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Lori E Waller | 33 Border Ave, Simpsonville, SC 29680-7387 | Physical Therapist Assistant | 2017-05-01 ~ 2018-04-30 |
| Barbara Srebnick | 59 Waller Road, Trumbull, CT 06611 | Physical Therapist | 1998-12-08 ~ 2000-02-29 |
| Leslie A Waller | 4016 Fallsway Ct, Virginia Beach, VA 23456 | Physical Therapist | 2002-03-28 ~ 2003-03-31 |
| James G Orourke | 45 Waller Rd, Trumbull, CT 06611 | Notary Public Appointment | 1984-08-01 ~ 1989-03-31 |
| James Maloney | Po Box 564, Agawam, MA 01001-0564 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| James F Kirwan | 118 Benoit Dr, Syracuse, NY 13209-1403 | Physical Therapist | ~ |
| Elizabeth A Roque | 10 Hope Pl, St James, NY 11780 | Physical Therapist | ~ |
| Waller Laurelwood LLC | 550 North Main St, Southington, CT 06489 | New Home Construction Contractor | 2013-10-01 ~ 2015-09-30 |
| James B Markwica | 219 Valley Road, Cos Cob, CT 06807 | Physical Therapist | 2003-11-06 ~ 2004-12-31 |
Please comment or provide details below to improve the information on JAMES M WALLER.
| 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).