H TIMMIE WALLACE (Credential# 690931) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is January 20, 2004. The license expiration date date is November 30, 2004. The license status is INACTIVE.
H TIMMIE WALLACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005352. The credential type is physical therapist. The effective date is January 20, 2004. The expiration date is November 30, 2004. The business address is 90 Lyford Drive, Tiburon, CA 94920. The current status is inactive.
| Licensee Name | H TIMMIE WALLACE |
| Credential ID | 690931 |
| Credential Number | 14.005352 |
| Credential Type | Physical Therapist |
| Business Address |
90 Lyford Drive Tiburon CA 94920 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1995-11-03 |
| Effective Date | 2004-01-20 |
| Expiration Date | 2004-11-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 90 LYFORD DRIVE |
| City | TIBURON |
| State | CA |
| Zip Code | 94920 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Allan H Rappaport | Post Office Box 127, Tiburon, CA 94920 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Future Educational Films | One Blackfield Drive #341, Tiburon, CA 94920 | Public Charity | ~ |
| David K Gately | P.o. Box 377, Tiburon, CA 94920 | Architect | 1997-08-01 ~ 1998-07-31 |
| A Robert Fisher | 320 Golden Gate, Belvedere, CA 94920 | Architect | 1998-08-01 ~ 1999-07-31 |
| Daniel Hunter · Carlson Associates Inc | 420 Golden Gate Ave, Belvedere, CA 94920 | Architect | 2005-08-01 ~ 2006-07-31 |
| Judith M Taylor | 611 Ridge Road, Tiburon, CA 94920 | Physician/surgeon | 1994-05-11 ~ 1995-07-31 |
| Tracy J Bradley · Jeffers | 114 Jefferson Dr, Tiburon, CA 94920 | Registered Nurse | 1999-07-09 ~ 2000-07-31 |
| Richard I Barr | 4 Seadrift Landing, Tiburon, CA 94920 | Physician/surgeon | 2004-04-16 ~ 2005-04-30 |
| Arthur E Gimmy | 13 Upper Cecilia Way, Tiburon, CA 94920 | Temporary Certified General Real Estate Appraiser | 2004-08-17 ~ 2005-02-17 |
| Deborah L Rios | 16 Bayview Ave, Belvedere, CA 94920 | Registered Nurse | 1995-12-26 ~ 1996-12-31 |
| Find all Licenses in zip 94920 | |||
| City | TIBURON |
| Zip Code | 94920 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + TIBURON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Susan D Wallace | P.o. Box 192, Rudy, AR 72952 | Physical Therapist | ~ 1996-11-30 |
| Donna M Reardon | 8 Wallace Rd., Sturbridge, MA 01566 | Physical Therapist | 2009-11-01 ~ 2010-10-31 |
| Wallace R Wilson | 594 Lee Road 96, Opelika, AL 36801 | Physical Therapist | 2003-09-10 ~ 2004-09-30 |
| David Wallace | 89 Valley Forge Rd., Weston, CT 06883 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Sarah Wallace | 44 Matthew Street, Prospect, CT 06712 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Marty D Wallace | 506 Forest St., Monroe, GA 30655 | Physical Therapist Assistant | 2001-02-21 ~ 2006-11-01 |
| Judy R Wallace | 49 Cope Farms Rd, Farmington, CT 06032 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Patrick W Wallace | 127 Broad St, Williston Park, NY 11596-1805 | Physical Therapist | 2013-08-01 ~ 2014-07-31 |
| Robert D Wallace | 3 Hart Rd, Guilford, CT 06437-1129 | Physical Therapist Assistant | 2019-08-01 ~ 2020-07-31 |
| Miranda A Wallace | 113 Strawberry St, Jewett City, CT 06351-2848 | Physical Therapist | 2016-11-01 ~ 2017-10-31 |
Please comment or provide details below to improve the information on H TIMMIE WALLACE.
| 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).