SUZANNE WAMBOLDT
Physical Therapist


Address: 420 N Oleander Ave, Daytona Beach, FL 32118

SUZANNE WAMBOLDT (Credential# 691103) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license expiration date date is June 30, 1997. The license status is INACTIVE.

Business Overview

SUZANNE WAMBOLDT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005526. The credential type is physical therapist. The expiration date is June 30, 1997. The business address is 420 N Oleander Ave, Daytona Beach, FL 32118. The current status is inactive.

Basic Information

Licensee Name SUZANNE WAMBOLDT
Credential ID 691103
Credential Number 14.005526
Credential Type Physical Therapist
Business Address 420 N Oleander Ave
Daytona Beach
FL 32118
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-06-28
Expiration Date 1997-06-30
Refresh Date 2009-07-08

Office Location

Street Address 420 N OLEANDER AVE
City DAYTONA BEACH
State FL
Zip Code 32118

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Theresa Ann Baldasarre 3703 S. Atlantic Ave Unit 604, Daytona Beach Shores, FL 32118 Registered Nurse 2020-01-01 ~ 2020-12-31
Kristi A Myers Kristi Myers, Daytona Beach, FL 32118 Registered Nurse 2019-05-01 ~ 2020-04-30
Scott M. Marcello 2420 Dodge Drive, Daytona Beach, FL 32118 Certified Public Accountant License 2017-01-01 ~ 2017-12-31
Anthony Joseph Maselli 3425 S Atlantic Ave, Daytona Beach Shores, FL 32118 Professional Engineer 2016-02-01 ~ 2017-01-31
Gregory A Laios 270 Boylston Ave., Daytona Beach, FL 32118 Registered Nurse 2014-09-01 ~ 2015-08-31
Mary Rolf 711 N. Halifax Ave #206, Daytona Beach, FL 32118 Licensed Practical Nurse 2013-03-01 ~ 2014-02-28
William J Coutu 417 Glenview Blvd, Daytona Beach, FL 32118 Registered Nurse - Temporary 2013-12-11 ~ 2014-04-09
Krishnan Gopal Md 3703 S Atlantic Ave #802, Daytona Beach Shores, FL 32118 Controlled Substance Registration for Practitioner 2011-09-20 ~ 2013-02-28
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Competitor

Search similar business entities

City DAYTONA BEACH
Zip Code 32118
License Type Physical Therapist
License Type + County Physical Therapist + DAYTONA BEACH

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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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