JENNIFER L VINCENZO
Physical Therapist


Address: 1834 Valley Road, Champaign, IL 61820

JENNIFER L VINCENZO (Credential# 691946) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is May 25, 2004. The license expiration date date is June 30, 2005. The license status is INACTIVE.

Business Overview

JENNIFER L VINCENZO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.006371. The credential type is physical therapist. The effective date is May 25, 2004. The expiration date is June 30, 2005. The business address is 1834 Valley Road, Champaign, IL 61820. The current status is inactive.

Basic Information

Licensee Name JENNIFER L VINCENZO
Credential ID 691946
Credential Number 14.006371
Credential Type Physical Therapist
Business Address 1834 Valley Road
Champaign
IL 61820
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-02-19
Effective Date 2004-05-25
Expiration Date 2005-06-30
Refresh Date 2009-07-08

Office Location

Street Address 1834 VALLEY ROAD
City CHAMPAIGN
State IL
Zip Code 61820

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Eres Consultants Inc · Mike I Darter 505 W University, Champaign, IL 61820 Professional Engineering Corporation 2002-07-21 ~ 2003-07-20
David M Rempe 8 Bel-aire Ct, Champaign, IL 61820 Professional Engineer 1800-12-27 ~ 1992-01-31
Kaushik J Patel 501 S Sixth Street, Champaign, IL 61820 Physician/surgeon 1998-08-10 ~ 1999-10-31
Independence Holding Company LLC · Complete Care Pharmacy 14 E Washington St Ste C, Champaign, IL 61820-3677 Nonresident Pharmacy 2018-09-01 ~ 2019-08-31
Ryan M Vincenzo 1834 Valley Rd, Champaign, IL 61820-7114 Registered Nurse 2004-05-13 ~ 2005-05-31

Licenses in the same city

Licensee Name Office Address Credential Effective / Expiration
Alban Ingram Miller Jr 1708 Foxborough Ct, Champaign, IL 61822-8503 Physician/surgeon 2020-06-05 ~ 2021-02-28
R Scott Bower 926 Waterview Way, Champaign, IL 61822 Registered Nurse 2020-07-01 ~ 2021-06-30
John Anthony Agapis 919 W Church St, Champaign, IL 61821-3331 Dentist ~
Viviene Neriz Villanueva Vicedo-sandico 910 Newcastle Dr Apt 7, Champaign, IL 61822-1826 Physical Therapist 2020-02-10 ~ 2020-12-31
Muna Zughayer 1004 S Harrington Dr, Champaign, IL 61821-3328 Pharmacist 2020-02-01 ~ 2022-01-31
Janya Bharat Swami 904 Newcastle Dr Apt 2, Champaign, IL 61822-1818 Controlled Substance Registration for Practitioner 2019-12-11 ~ 2021-02-28
Haley Leone Morrissey 3909 Farhills Drive, Champaign, IL 61822 Pharmacist 2020-02-01 ~ 2022-01-31
Terry L Davis Jr 712 Lauterbur Ln, Champaign, IL 61822 Fire Protection Unlimited Journeyperson 2019-11-01 ~ 2020-10-31
Timothy W Dolan 1711 Gentry Square Ln Apt 108, Champaign, IL 61821-5978 Engineer-in-training 2008-06-10 ~ 2018-06-10
Christine L Stout 614 Pomona Dr, Champaign, IL 61822 Registered Nurse 2019-10-01 ~ 2020-09-30
Find all Licenses in CHAMPAIGN

Competitor

Search similar business entities

City CHAMPAIGN
Zip Code 61820
License Type Physical Therapist
License Type + County Physical Therapist + CHAMPAIGN

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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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