TRACI L MOLLOT
Physical Therapist


Address: 7015 Epping Forest Drive, Raleigh, NC 27613

TRACI L MOLLOT (Credential# 691407) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 20, 1999. The license expiration date date is January 31, 2001. The license status is INACTIVE.

Business Overview

TRACI L MOLLOT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005831. The credential type is physical therapist. The effective date is December 20, 1999. The expiration date is January 31, 2001. The business address is 7015 Epping Forest Drive, Raleigh, NC 27613. The current status is inactive.

Basic Information

Licensee Name TRACI L MOLLOT
Credential ID 691407
Credential Number 14.005831
Credential Type Physical Therapist
Business Address 7015 Epping Forest Drive
Raleigh
NC 27613
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-06-27
Effective Date 1999-12-20
Expiration Date 2001-01-31
Refresh Date 2009-07-08

Office Location

Street Address 7015 Epping Forest Drive
City Raleigh
State NC
Zip Code 27613

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Peter F Coste 3401 Hackney Court, Raleigh, NC 27613 Professional Engineer 2018-02-01 ~ 2019-01-31
David M Oldham 10201 Lobley Hill Lane, Raleigh, NC 27613 Certified Public Accountant Certificate 2020-01-01 ~ 2020-12-31
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Competitor

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City Raleigh
Zip Code 27613
License Type Physical Therapist
License Type + County Physical Therapist + Raleigh

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Traci J Carrington 79 Joseph Ave, Westfield, MA 01085-1812 Occupational Therapist 2009-12-28 ~ 2011-07-31
Traci L Mnich 745 Halladay Ave W, Suffield, CT 06078-1061 Occupational Therapist 2014-10-02 ~ 2015-07-31
Traci A Jacobson Po Box 404, Portland, CT 06480-0404 Occupational Therapist Assistant 2019-08-01 ~ 2021-07-31
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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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