MICHAEL P FALL (Credential# 689058) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2018. The license expiration date date is September 30, 2019. The license status is INACTIVE.
MICHAEL P FALL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.003155. The credential type is physical therapist. The effective date is October 1, 2018. The expiration date is September 30, 2019. The business address is 1143 Sw Greenbriar Cv, Port Saint Lucie, FL 34986-2004. The current status is inactive.
Licensee Name | MICHAEL P FALL |
Credential ID | 689058 |
Credential Number | 14.003155 |
Credential Type | Physical Therapist |
Business Address |
1143 Sw Greenbriar Cv Port Saint Lucie FL 34986-2004 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1983-11-29 |
Effective Date | 2018-10-01 |
Expiration Date | 2019-09-30 |
Refresh Date | 2020-01-03 |
Street Address | 1143 SW GREENBRIAR CV |
City | PORT SAINT LUCIE |
State | FL |
Zip Code | 34986-2004 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Judith A Mcintyre | 7028 Maidstone Dr, Port St Lucie, FL 34986 | Certified Residential Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
Nancy Fiederlein | 519 Nw Blue Lake Drive, Port Saint Lucie, FL 34986 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Christopher Yoia | 5870 Nw Iota Court, Port Saint Lucie, FL 34986 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
A David Drezner Md | 8825 Champions Way, Port St Lucie, FL 34986 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Jan T Sevieri · Sharp | 10113 Wild Quail Dr, Port St. Lucie, FL 34986 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Christopher W Pearson | 5246 Nw Torino Lakes Cir, Port St. Lucie, FL 34986 | Electrical Unlimited Journeyperson | 2019-11-10 ~ 2020-09-30 |
Tammy L Mahroos | 8155 Carnoustie Place, Port St Lucie, FL 34986 | Registered Nurse | 2018-08-01 ~ 2019-07-31 |
Ann Beaudoin | 563 Sw St. Georges Bay, Port St. Lucie, FL 34986 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Nicole A Passaro | 5415 Nw Bolin Street, Port St. Lucie, FL 34986 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
James L Massi | 7761 Greenbrier Circle, Port St, Lucie, FL 34986 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
Find all Licenses in zip 34986 |
City | PORT SAINT LUCIE |
Zip Code | 34986 |
License Type | Physical Therapist |
License Type + County | Physical Therapist + PORT SAINT LUCIE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Fritzie P Gayoso | 185 Osborn St, Fall River, MA 02724-2815 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
Agnes Silva | 401 President Ave, Fall River, MA 02720-3706 | Physical Therapist Assistant | ~ |
Donna J Futoransky | 840 Madison St, Fall River, MA 02720 | Physical Therapist | 1993-02-25 ~ 1993-11-30 |
Brenda Larrivee | 80 Bardsley Street, Fall River, MA 02723 | Physical Therapist | 1998-06-15 ~ 1999-05-31 |
Molly S Poulin | 94 Fall Mountain Lake Rd, Terryville, CT 06786-7211 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
Nathan Ferreira | 517 Palmer Street, Fall River, CT 02721 | Physical Therapist Assistant | 2018-10-11 ~ 2019-06-30 |
Jennifer C Kanning | 3823 Frostberry Fall Place, Bethlehem, GA 30620 | Physical Therapist | 2006-03-30 ~ 2007-05-31 |
Nicholas Steven Hubert | 102 Joseph Dr, Fall River, MA 02720 | Physical Therapist Assistant | 2018-10-01 ~ 2019-09-30 |
Janet L Fall · Fall | 191 Oakland St Apt B, Manchester, CT 06042-8244 | Massage Therapist | 2018-07-01 ~ 2020-06-30 |
Michael Roy | 36 Bardwell St, Belchertown, MA 01007 | Physical Therapist | ~ |
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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).