ELIZABETH V FULLER
Physical Therapist


Address: 19 Waterman St, Worcester, MA 01603

ELIZABETH V FULLER (Credential# 688597) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is June 21, 2007. The license expiration date date is August 31, 2008. The license status is INACTIVE.

Business Overview

ELIZABETH V FULLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.002457. The credential type is physical therapist. The effective date is June 21, 2007. The expiration date is August 31, 2008. The business address is 19 Waterman St, Worcester, MA 01603. The current status is inactive.

Basic Information

Licensee Name ELIZABETH V FULLER
Credential ID 688597
Credential Number 14.002457
Credential Type Physical Therapist
Business Address 19 Waterman St
Worcester
MA 01603
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1979-08-30
Effective Date 2007-06-21
Expiration Date 2008-08-31
Refresh Date 2009-07-08

Office Location

Street Address 19 WATERMAN ST
City WORCESTER
State MA
Zip Code 01603

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City WORCESTER
Zip Code 01603
License Type Physical Therapist
License Type + County Physical Therapist + WORCESTER

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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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