EDWIN R GRAY
Physical Therapist


Address: 805 Marvelle La, Green Bay, WI 54304

EDWIN R GRAY (Credential# 687507) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 25, 1993. The license expiration date date is May 31, 1994. The license status is INACTIVE.

Business Overview

EDWIN R GRAY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.000499. The credential type is physical therapist. The effective date is August 25, 1993. The expiration date is May 31, 1994. The business address is 805 Marvelle La, Green Bay, WI 54304. The current status is inactive.

Basic Information

Licensee Name EDWIN R GRAY
Credential ID 687507
Credential Number 14.000499
Credential Type Physical Therapist
Business Address 805 Marvelle La
Green Bay
WI 54304
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1955-12-05
Effective Date 1993-08-25
Expiration Date 1994-05-31
Refresh Date 2009-07-08

Office Location

Street Address 805 MARVELLE LA
City GREEN BAY
State WI
Zip Code 54304

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Jeanne A Coady 2829 Viking Drive, Green Bay, WI 54304 Licensed Practical Nurse 2002-07-22 ~ 2003-09-30
Jeffrey A Trogdon 2665 Trojan Dr Apt 504, Green Bay, WI 54304-1212 Public Service Technician - Telephone 2008-10-03 ~ 2009-09-30
Daniel A Urmanski 1208 Marquette Ave, Green Bay, WI 54304-2420 Public Service Technician - Telephone 2011-02-14 ~ 2011-09-30
Kimberly Koch 1012 Thorndale Ct, Green Bay, WI 54304-3918 Registered Nurse ~
Larry D Javens 1203 Blue Ridge Dr, Green Bay, WI 54304-4133 Public Service Technician - Telephone 2011-09-06 ~ 2012-09-30
Elizabeth S Toohill 2609 Bay Harbor Cir Unit 2, Green Bay, WI 54304-4827 Registered Nurse 2016-02-11 ~ 2017-02-28
Ronald H Vandenheuvel 3131 Market St, Green Bay, WI 54304-5611 Electrical Unlimited Contractor 2016-10-01 ~ 2017-09-30
Donald L Peterson 3198 S Ridge Rd, Green Bay, WI 54304-5627 Public Service Technician - Telephone 2011-09-06 ~ 2012-09-30
Eric D Ostrenga 3198 S Ridge Rd, Green Bay, WI 54304-5627 Public Service Technician - Telephone 2011-09-06 ~ 2012-09-30
David E Laurent 3198 S Ridge Rd, Green Bay, WI 54304-5627 Public Service Technician - Telephone ~
Find all Licenses in zip 54304

Competitor

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City GREEN BAY
Zip Code 54304
License Type Physical Therapist
License Type + County Physical Therapist + GREEN BAY

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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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