LESLIE A WALLER (Credential# 688210) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is March 28, 2002. The license expiration date date is March 31, 2003. The license status is INACTIVE.
LESLIE A WALLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.001854. The credential type is physical therapist. The effective date is March 28, 2002. The expiration date is March 31, 2003. The business address is 4016 Fallsway Ct, Virginia Beach, VA 23456. The current status is inactive.
| Licensee Name | LESLIE A WALLER |
| Credential ID | 688210 |
| Credential Number | 14.001854 |
| Credential Type | Physical Therapist |
| Business Address |
4016 Fallsway Ct Virginia Beach VA 23456 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1975-09-25 |
| Effective Date | 2002-03-28 |
| Expiration Date | 2003-03-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 4016 FALLSWAY CT |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23456 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marjorie Paulette Davis | 1841 Kensal Green Drive, Virginia Beach, VA 23456 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Sarah B King | 2036 Terramar Ln, Virginia Beach, VA 23456 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Jared M Durban | 2517 Sanderson Lane, Virginia Beach, VA 23456 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Deborah A Miller | 2412 Charlotte Grace Way, Virginia Beach, VA 23456 | Licensed Practical Nurse | 2019-12-01 ~ 2020-11-30 |
| April Breazeale | 4301 Derby Wharf Drive, Virgina Beach, VA 23456 | Pharmacy Technician | 2004-04-07 ~ 2005-03-31 |
| John J Devan | 2341 Tallwood Trail, Virginia Beach, VA 23456 | Professional Engineer | 1996-02-13 ~ 1997-01-31 |
| Mirja Leena Livingston | 2405 Adair Ct, Virginia Beach, VA 23456 | Registered Nurse - Temporary | 2015-03-11 ~ 2015-07-08 |
| Elaine M Foley | 3041 Hemingway Road, Virginia Beach, VA 23456 | Registered Nurse | 2013-05-01 ~ 2014-04-30 |
| Sam L Alvord | 1901 Grey Dove Ct, Virginia Beach, VA 23456 | Engineer-in-training | 2003-06-10 ~ 2013-06-10 |
| Beryl L Gittens | 2441 Seven Kings Road, Virginia Beach, VA 23456 | Licensed Practical Nurse | 2010-12-01 ~ 2011-11-30 |
| Find all Licenses in zip 23456 | |||
| City | VIRGINIA BEACH |
| Zip Code | 23456 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + VIRGINIA BEACH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emily H Waller | 33 Linden Rd, Woodbury, CT 06798-2828 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| James M Waller | 3 Wychwood Rd, Old Lyme, CT 06371-1838 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Lori E Waller | 33 Border Ave, Simpsonville, SC 29680-7387 | Physical Therapist Assistant | 2017-05-01 ~ 2018-04-30 |
| Barbara Srebnick | 59 Waller Road, Trumbull, CT 06611 | Physical Therapist | 1998-12-08 ~ 2000-02-29 |
| Leslie J Podmore | 210 Goldsborough Dr, Odenton, MD 21113-2916 | Physical Therapist | ~ |
| Leslie Fraboni | 230 Riverside Dr Apt 7g, New York, NY 10025-8641 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Leslie S Youngblood | 63 Lockhart Ave, Waterbury, CT 06705 | Physical Therapist | 1994-04-21 ~ 1995-04-30 |
| Leslie Mae C Brito | 108 Sunrise Cir, Newington, CT 06111-3367 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Leslie G Redmond | 230 Willow St, Hamden, CT 06518 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Leslie S Alderwick | Po Box 26, Arroyo Seco, NM 87514 | Physical Therapist | 1995-05-11 ~ 1996-06-30 |
Please comment or provide details below to improve the information on LESLIE A WALLER.
| 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).