MARLYSA B FUNDERBURK (Credential# 693362) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 24, 2006. The license expiration date date is December 31, 2007. The license status is INACTIVE.
MARLYSA B FUNDERBURK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.007787. The credential type is physical therapist. The effective date is November 24, 2006. The expiration date is December 31, 2007. The business address is 701 Highland Avenue, Atlanta, GA 30312. The current status is inactive.
| Licensee Name | MARLYSA B FUNDERBURK |
| Credential ID | 693362 |
| Credential Number | 14.007787 |
| Credential Type | Physical Therapist |
| Business Address |
701 Highland Avenue Atlanta GA 30312 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2005-10-06 |
| Effective Date | 2006-11-24 |
| Expiration Date | 2007-12-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 701 Highland Avenue |
| City | Atlanta |
| State | GA |
| Zip Code | 30312 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy M Woodward | 701 Highland Avenue, Atlanta, GA 30312 | Radiographer | 2006-02-01 ~ 2006-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fran Lynn Rowe | 840 United Avenue, Atlanta, GA 30312 | Registered Nurse - Temporary | 2020-06-02 ~ 2020-09-30 |
| Ernesto A Guardado | 660 Ralph Mcgill Boulevard Ne, Atlanta, GA 30312 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Kaysi Woodard | 1092 Park Row South Se, Atlanta, GA 30312 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Matthew Keck | 548 Cameron St Se, Atlanta, GA 30312 | Registered Nurse | 2015-11-01 ~ 2016-10-31 |
| Nakia M Shaw | 53 Crumley St Se, Atlanta, GA 30312 | Pharmacist | 2006-02-13 ~ 2007-01-31 |
| Stephanie R Davis | 747 Ralph Mcgill Blvd Ne Unit 138, Atlanta, GA 30312-1129 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Kevin A Lach | 660 Ralph Mcgill Blvd Ne, Atlanta, GA 30312-1149 | Lottery Or Otb Service Provider Employee | 2013-01-01 ~ 2013-12-31 |
| Christopher Auzenne | 375 Ralph Mcgill Blvd Ne Apt 207, Atlanta, GA 30312-1245 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Modinat T Adeboyejo | 384 Ralph Mcgill Blvd Ne Unit 103, Atlanta, GA 30312-1263 | Registered Nurse - Temporary | 2013-12-16 ~ 2014-04-14 |
| Francine M Bethune | 515 Mcgill Park Ave Ne, Atlanta, GA 30312-1277 | Real Estate Broker | 2018-04-01 ~ 2019-03-31 |
| Find all Licenses in zip 30312 | |||
| City | Atlanta |
| Zip Code | 30312 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + Atlanta |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shirley Funderburk | 5950 Rosecroft Pl, Hughesville, MD 20637 | Licensed Practical Nurse | 2008-02-25 ~ 2009-03-31 |
| Aundra Funderburk | 381 Lexington Rd Apt 6, Elloree, SC 29047-9389 | Registered Nurse - Temporary | 2019-07-25 ~ 2019-11-22 |
| Fallon A Funderburk | 725 Cozy Point Road, Zwolle, LA 71486 | Registered Nurse | 2007-04-09 ~ 2008-04-30 |
| Jason G Funderburk | 12 East 22nd Street, New York, NY 10010 | Physician/surgeon | 2006-09-08 ~ 2007-08-31 |
| Ellen Funderburk | 153 Campbell Avenue, West Haven, CT 06516 | Licensed Practical Nurse | 2006-08-18 ~ 2007-09-30 |
| Victor R Funderburk · Windham Theatre Guild Inc | 779 Main St, Willimantic, CT 06226 | Non Profit Theater Liquor | 2020-01-16 ~ 2021-05-15 |
| Frances Funderburk Wright | 155 Campbell Avenue, West Haven, CT 06516 | Notary Public Appointment | 2019-09-01 ~ 2024-08-31 |
| Thera H Funderburk | 37635 Walker Rd N, Walker, LA 70785-2515 | Registered Nurse - Temporary | 2012-01-06 ~ 2012-05-05 |
| Hyundong Kim | CT | Physical Therapist | ~ |
| Phi Tran | 23 May St Apt 3, Worcester, MA 01610-2098 | Physical Therapist | ~ |
Please comment or provide details below to improve the information on MARLYSA B FUNDERBURK.
| 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).