JOANN D SULLIVAN
Physical Therapist


Address: 200 Proteus Ave, Groton, CT 06340-2868

JOANN D SULLIVAN (Credential# 1045309) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2013. The license expiration date date is December 31, 2013. The license status is INACTIVE.

Business Overview

JOANN D SULLIVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009282. The credential type is physical therapist. The effective date is January 1, 2013. The expiration date is December 31, 2013. The business address is 200 Proteus Ave, Groton, CT 06340-2868. The current status is inactive.

Basic Information

Licensee Name JOANN D SULLIVAN
Credential ID 1045309
Credential Number 14.009282
Credential Type Physical Therapist
Business Address 200 Proteus Ave
Groton
CT 06340-2868
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-12-28
Effective Date 2013-01-01
Expiration Date 2013-12-31
Refresh Date 2014-07-24

Office Location

Street Address 200 PROTEUS AVE
City GROTON
State CT
Zip Code 06340-2868

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Competitor

Search similar business entities

City GROTON
Zip Code 06340
License Type Physical Therapist
License Type + County Physical Therapist + GROTON

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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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