TIMOTHY L BOURNE (Credential# 1212386) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2014. The license expiration date date is April 30, 2015. The license status is INACTIVE.
TIMOTHY L BOURNE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.010084. The credential type is physical therapist. The effective date is April 1, 2014. The expiration date is April 30, 2015. The business address is 636 County Road, #852, Fort Payne, AL 35967. The current status is inactive.
Licensee Name | TIMOTHY L BOURNE |
Credential ID | 1212386 |
Credential Number | 14.010084 |
Credential Type | Physical Therapist |
Business Address |
636 County Road, #852 Fort Payne AL 35967 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2014-04-01 |
Effective Date | 2014-04-01 |
Expiration Date | 2015-04-30 |
Refresh Date | 2015-08-05 |
Street Address | 636 COUNTY ROAD, #852 |
City | FORT PAYNE |
State | AL |
Zip Code | 35967 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert G Graham IIi | 6920 Portobello Road Nw, Ft Payne, AL 35967 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Richard A Phaneuf | 5211 Big Wills Dr, Fort Payne, AL 35967 | Professional Engineer | 1995-01-11 ~ 1996-01-31 |
James B Rose | 1613 Scenic Road, Fort Payne, AL 35967 | Heating, Piping & Cooling Limited Journeyperson | 2009-09-01 ~ 2010-08-31 |
Andrea G Berry | 5302 Big Wills Rd Nw, Fort Payne, AL 35967-8206 | Licensed Clinical Social Worker | 2013-02-01 ~ 2014-01-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
America's Best Care Plus Inc. · American Best Care Plus, Inc. | 1825 Everett Drive West, Fort Payne, AL 35968 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
Earthgrains Division · Merico Inc | Po Box 680560, Fort Payne, AL 35968 | Bakery | 2003-07-01 ~ 2004-06-30 |
Karen M Smothers | 434 County Road 447, Fort Payne, AL 35968-4212 | Physical Therapist Assistant | 2013-01-01 ~ 2013-12-31 |
City | FORT PAYNE |
Zip Code | 35967 |
License Type | Physical Therapist |
License Type + County | Physical Therapist + FORT PAYNE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joscelyn C Bourne | 2 West Ave, Norwalk, CT 06854-2243 | Physical Therapist | 2016-12-16 ~ 2017-12-31 |
Jamie S Mitchell | 20 Keene Street, Bourne, MA 02532 | Physical Therapist | 2000-07-25 ~ 2001-06-30 |
Timothy F Tyler | 62 Stebbins Ave., Eastchester, NY 10709 | Physical Therapist | 2011-05-01 ~ 2012-04-30 |
Timothy W Pelrine | 40 Austin Rd, Mahopac, NY 10541-4802 | Physical Therapist | 2018-12-01 ~ 2019-11-30 |
Timothy M Theriault | 75 Old Turnpike Rd, Southington, CT 06489-3633 | Physical Therapist | 2010-03-01 ~ 2011-02-28 |
Timothy W Byrne | 11 Hillside Rd, Troy, NY 12182 | Physical Therapist | 2008-10-03 ~ 2009-10-31 |
Timothy K Florek | 43 Stage Rd, Westhampton, MA 01027-9655 | Physical Therapist | 2010-02-01 ~ 2011-01-31 |
Timothy A Hanke | 36 Fox Den Road, Glastonbury, CT 06033 | Physical Therapist | 2003-04-02 ~ 2004-05-31 |
Timothy L Durant | 74 Knollwood Dr., Glastonbury, CT 06033 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
Timothy J Barrett | 505 Harwinton Ave Apt 17, Torrington, CT 06790-6559 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
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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).