JOSEPHUS PETER WYCOCO
Physical Therapist


Address: 1320 Smith St Apt 314, Logansport, IN 46947-1569

JOSEPHUS PETER WYCOCO (Credential# 1464633) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2018. The license expiration date date is July 31, 2019. The license status is INACTIVE.

Business Overview

JOSEPHUS PETER WYCOCO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011706. The credential type is physical therapist. The effective date is August 1, 2018. The expiration date is July 31, 2019. The business address is 1320 Smith St Apt 314, Logansport, IN 46947-1569. The current status is inactive.

Basic Information

Licensee Name JOSEPHUS PETER WYCOCO
Credential ID 1464633
Credential Number 14.011706
Credential Type Physical Therapist
Business Address 1320 Smith St Apt 314
Logansport
IN 46947-1569
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2017-12-19
Effective Date 2018-08-01
Expiration Date 2019-07-31
Refresh Date 2019-11-03

Office Location

Street Address 1320 SMITH ST APT 314
City LOGANSPORT
State IN
Zip Code 46947-1569

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Jonathan C Hammons 2525 Hastye Hill, Logansport, IN 46947 Real Estate Salesperson ~
Tina Marie Horn 2309 Spear St., Logansport, IN 46947 Registered Nurse 2018-05-01 ~ 2019-05-31
Leda K Woodruff 614 Monroe St, Logansport, IN 46947 Registered Nurse 2008-11-21 ~ 2009-11-30
Casi N Groseclose 2223 Jefferson Street, Logansport, IN 46947 Registered Nurse 2008-11-10 ~ 2009-11-30
Meghan R Martin 2005 George St, Logansport, IN 46947-3730 Registered Nurse 2012-09-04 ~ 2013-09-30
Sarah Elizabeth Cox 5035 E Division Rd, Logansport, IN 46947-7964 Dental Hygienist 2018-08-01 ~ 2019-07-31

Competitor

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City LOGANSPORT
Zip Code 46947
License Type Physical Therapist
License Type + County Physical Therapist + LOGANSPORT

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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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