NANCY A TIVNAN
Physical Therapist


Address: 274 Wilson St, Marlboro, MA 01752

NANCY A TIVNAN (Credential# 688553) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 26, 2003. The license expiration date date is November 30, 2004. The license status is INACTIVE.

Business Overview

NANCY A TIVNAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.002397. The credential type is physical therapist. The effective date is November 26, 2003. The expiration date is November 30, 2004. The business address is 274 Wilson St, Marlboro, MA 01752. The current status is inactive.

Basic Information

Licensee Name NANCY A TIVNAN
Credential ID 688553
Credential Number 14.002397
Credential Type Physical Therapist
Business Address 274 Wilson St
Marlboro
MA 01752
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1979-07-16
Effective Date 2003-11-26
Expiration Date 2004-11-30
Refresh Date 2009-07-08

Office Location

Street Address 274 WILSON ST
City MARLBORO
State MA
Zip Code 01752

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Competitor

Search similar business entities

City MARLBORO
Zip Code 01752
License Type Physical Therapist
License Type + County Physical Therapist + MARLBORO

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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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