MARY GAIL BROCK (Credential# 687872) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2010. The license expiration date date is September 30, 2011. The license status is INACTIVE.
MARY GAIL BROCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.001256. The credential type is physical therapist. The effective date is October 1, 2010. The expiration date is September 30, 2011. The business address is 12 Laurel Rd, Swampscott, MA 01907-2313. The current status is inactive.
| Licensee Name | MARY GAIL BROCK |
| Credential ID | 687872 |
| Credential Number | 14.001256 |
| Credential Type | Physical Therapist |
| Business Address |
12 Laurel Rd Swampscott MA 01907-2313 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1970-07-20 |
| Effective Date | 2010-10-01 |
| Expiration Date | 2011-09-30 |
| Refresh Date | 2012-01-04 |
| Street Address | 12 LAUREL RD |
| City | SWAMPSCOTT |
| State | MA |
| Zip Code | 01907-2313 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kurt A Rockstroh | 330 Paradise Road, Swampscott, MA 01907 | Architect | 2018-08-01 ~ 2019-07-31 |
| Tara L Kay | 330 Paradise Rd, Swampscott, MA 01907 | Pharmacist | 2020-04-14 ~ 2022-01-31 |
| Andrew W Herrmann | 60 Crosman Avenue, Swampscott, MA 01907 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Regina Maura Silver | 95 Rockland Street, Swampscott, MA 01907 | Registered Nurse | 2018-10-01 ~ 2019-09-30 |
| Vladimir Yarmarkovich | 53 Blaney St, Swampscott, MA 01907 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Kellie Burns | 200 Vantage Terrace Apt 307, Swampscott, MA 01907 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| David S Goshko | 200 Vantage Terr Unit 411, Swampscott, MA 01907 | Pharmacist | 2014-02-01 ~ 2016-01-31 |
| Sandra Jones | 404 Paradise Rd Unit 1-s, Swampscott, 01907 | Licensed Practical Nurse | 2014-12-01 ~ 2015-11-30 |
| Ralph A Souppa Jr | 36 Andrew Rd, Swampscott, MA 01907 | Professional Engineer | 1996-02-01 ~ 1997-01-31 |
| P Douglas Burgess | 57 Atlantic Rd, Swampscott, MA 01907 | Professional Engineer | 1999-02-01 ~ 2000-01-31 |
| Find all Licenses in zip 01907 | |||
| City | SWAMPSCOTT |
| Zip Code | 01907 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + SWAMPSCOTT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brock J Dodsworth | 312 N. Rubey Street, Macon, MO 63552 | Physical Therapist Assistant | 2009-07-02 ~ 2010-07-31 |
| Gail L Heffron | 194 Thoreau Dr, Shelton, CT 06484-1659 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
| Gail E Butler | 184 Summer St, Stamford, CT 06901-2350 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Gail P Telerico | 24 Meadow Rd, Riverside, CT 06878 | Physical Therapist | 2003-01-22 ~ 2004-02-29 |
| Gail B Butter | 203 Tracy Dr, Vernon, CT 06066 | Physical Therapist | 2005-05-20 ~ 2006-07-31 |
| Gail V Nielsen | 69 Range Rd, Wilton, CT 06897 | Physical Therapist | 2006-07-31 ~ 2007-09-30 |
| Gail P. Fennell | 68 Riverside Dr, Ridgefield, CT 06877 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Gail F Case | 79 Simonds Ave, Collinsville, CT 06019 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Gail A Cherry | 7 Harvard Rd, Danbury, CT 06810-7528 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Gail P Ocampo | 4706 48th Ave Apt 3a, Woodside, NY 11377-6522 | Physical Therapist | ~ |
Please comment or provide details below to improve the information on MARY GAIL BROCK.
| 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).