ELLEN M STURTEVANT
Physical Therapist


Address: 174 Glen Hills Dr, Cranston, RI 02920

ELLEN M STURTEVANT (Credential# 688455) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2017. The license expiration date date is April 30, 2018. The license status is INACTIVE.

Business Overview

ELLEN M STURTEVANT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.002246. The credential type is physical therapist. The effective date is May 1, 2017. The expiration date is April 30, 2018. The business address is 174 Glen Hills Dr, Cranston, RI 02920. The current status is inactive.

Basic Information

Licensee Name ELLEN M STURTEVANT
Credential ID 688455
Credential Number 14.002246
Credential Type Physical Therapist
Business Address 174 Glen Hills Dr
Cranston
RI 02920
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1978-07-12
Effective Date 2017-05-01
Expiration Date 2018-04-30
Refresh Date 2018-08-03

Office Location

Street Address 174 GLEN HILLS DR
City CRANSTON
State RI
Zip Code 02920

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Johnna A Roche 36 Blaine Street, Cranston, RI 02920 Notary Public Appointment 2015-04-22 ~ 2020-04-30
Julie A Moshier 31 Casino Ave Apt #1, Cranston, RI 02920 Pharmacy Technician 2016-04-27 ~ 2017-03-31
Fawazat A Agoro 98 Hyde St, Cranston, RI 02920 Registered Nurse - Temporary 2019-12-02 ~ 2020-03-31
Joseph P Fraioli 33 Briggs St, Cranston, RI 02920 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Ronald H Chin 130 Robson St., Cranston, RI 02920 Casino Class I Employee 2019-12-11 ~ 2020-10-31
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Competitor

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City CRANSTON
Zip Code 02920
License Type Physical Therapist
License Type + County Physical Therapist + CRANSTON

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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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