STACEY M TULLOCH
Physical Therapist


Address: 1111 J Ladys Slipper, Raleigh, NC 27606

STACEY M TULLOCH (Credential# 690753) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 10, 1998. The license expiration date date is November 30, 1999. The license status is INACTIVE.

Business Overview

STACEY M TULLOCH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005172. The credential type is physical therapist. The effective date is November 10, 1998. The expiration date is November 30, 1999. The business address is 1111 J Ladys Slipper, Raleigh, NC 27606. The current status is inactive.

Basic Information

Licensee Name STACEY M TULLOCH
Credential ID 690753
Credential Number 14.005172
Credential Type Physical Therapist
Business Address 1111 J Ladys Slipper
Raleigh
NC 27606
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-06-16
Effective Date 1998-11-10
Expiration Date 1999-11-30
Refresh Date 2009-07-08

Office Location

Street Address 1111 J LADYS SLIPPER
City RALEIGH
State NC
Zip Code 27606

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Mark A Colgan Venture I, Raleigh, NC 27606 Professional Engineer 2020-02-01 ~ 2021-01-31
Brenda J Vannier · Randazzo 1800 Avent Ridge Road, Raleigh, NC 27606 Registered Nurse 2019-12-01 ~ 2020-11-30
Kurt Ehlert 5637 Pine Drive, Raleigh, NC 27606 Physician/surgeon 2019-12-01 ~ 2020-11-30
Julia S Kuriger 5720 Heatherstone Dr, Raleigh, NC 27606 Registered Nurse 2017-09-01 ~ 2018-08-31
Patricia Renk 3728 Sparrow Pond Lane, Raleigh, NC 27606 Physical Therapist 2014-01-01 ~ 2014-12-31
Brantley J. Blanchard 5500 Pine Leaf Court, Raliegh, NC 27606 Certified Public Accountant License 2014-01-01 ~ 2014-12-31
Katherine Mckay 114 Merry Hill Dr, Raleigh, NC 27606 Registered Nurse 1993-08-25 ~ 1994-06-30
Kathleen J Manlove 3938 Lake Ferry Dr, Raleigh, NC 27606 Registered Nurse 1993-12-20 ~ 1995-01-31
Connie Collins Johnson 1299 G Schaub Drive, Raleigh, NC 27606 Physical Therapist 1993-06-24 ~ 1994-05-31
Maurice H Werness Jr 2800 Dover Farm Rd., Raleigh, NC 27606 Naturopathic Physician 2003-05-15 ~ 2003-11-30
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Competitor

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City RALEIGH
Zip Code 27606
License Type Physical Therapist
License Type + County Physical Therapist + RALEIGH

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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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