MAXINE C DEVEAUGH
Physical Therapist


Address: 52 High St, West Springfield, MA 01089-3125

MAXINE C DEVEAUGH (Credential# 1123961) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2013. The license expiration date date is August 31, 2014. The license status is INACTIVE.

Business Overview

MAXINE C DEVEAUGH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009574. The credential type is physical therapist. The effective date is September 1, 2013. The expiration date is August 31, 2014. The business address is 52 High St, West Springfield, MA 01089-3125. The current status is inactive.

Basic Information

Licensee Name MAXINE C DEVEAUGH
Credential ID 1123961
Credential Number 14.009574
Credential Type Physical Therapist
Business Address 52 High St
West Springfield
MA 01089-3125
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-10-10
Effective Date 2013-09-01
Expiration Date 2014-08-31
Refresh Date 2014-12-11

Office Location

Street Address 52 HIGH ST
City WEST SPRINGFIELD
State MA
Zip Code 01089-3125

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Jody L Russell 121 Greenleaf Ave, West Springfield, MA 01089 Registered Nurse 2020-07-01 ~ 2021-06-30
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Mary Christine Matias 24 Appaloosa Lane, West Springfield, MA 01089 Licensed Practical Nurse ~
Elizabeth A Favreau 21 Hummingbird Lane, West Springfield, MA 01089 Registered Nurse 2020-09-01 ~ 2021-08-31
James M Hanifan 90 Bayberry Ln, W Springfield, MA 01089 Architect 2020-08-01 ~ 2021-07-31
Katie Marie Sniegowski 22 Garden St, West Springfield, MA 01089 Registered Nurse - Temporary 2020-02-05 ~ 2020-06-04
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Competitor

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City WEST SPRINGFIELD
Zip Code 01089
License Type Physical Therapist
License Type + County Physical Therapist + WEST SPRINGFIELD

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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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