ROBERTA F SULLIVAN
Physical Therapist


Address: 7 Fran Lane, Colchester, CT 06415

ROBERTA F SULLIVAN (Credential# 690025) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 14, 1995. The license expiration date date is January 31, 1997. The license status is INACTIVE.

Business Overview

ROBERTA F SULLIVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.004436. The credential type is physical therapist. The effective date is December 14, 1995. The expiration date is January 31, 1997. The business address is 7 Fran Lane, Colchester, CT 06415. The current status is inactive.

Basic Information

Licensee Name ROBERTA F SULLIVAN
Credential ID 690025
Credential Number 14.004436
Credential Type Physical Therapist
Business Address 7 Fran Lane
Colchester
CT 06415
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1991-08-27
Effective Date 1995-12-14
Expiration Date 1997-01-31
Refresh Date 2009-07-08

Office Location

Street Address 7 FRAN LANE
City COLCHESTER
State CT
Zip Code 06415

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Competitor

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City COLCHESTER
Zip Code 06415
License Type Physical Therapist
License Type + County Physical Therapist + COLCHESTER

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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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