GERALD P MANCILLA
Physical Therapist


Address: 6151 Piedmont Drive, Springhill, FL 34606-4606

GERALD P MANCILLA (Credential# 694025) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 11, 2008. The license expiration date date is August 31, 2009. The license status is INACTIVE.

Business Overview

GERALD P MANCILLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008450. The credential type is physical therapist. The effective date is December 11, 2008. The expiration date is August 31, 2009. The business address is 6151 Piedmont Drive, Springhill, FL 34606-4606. The current status is inactive.

Basic Information

Licensee Name GERALD P MANCILLA
Credential ID 694025
Credential Number 14.008450
Credential Type Physical Therapist
Business Address 6151 Piedmont Drive
Springhill
FL 34606-4606
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-12-11
Effective Date 2008-12-11
Expiration Date 2009-08-31
Refresh Date 2009-12-10

Office Location

Street Address 6151 Piedmont Drive
City Springhill
State FL
Zip Code 34606-4606

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Deborah Jean Parker 6122 Shannon Ave, Spring Hill, FL 34606 Registered Nurse 2019-12-01 ~ 2020-11-30
Lynne Oliver 322 Portland Ave, Spring Hill, FL 34606 Registered Nurse 2019-08-01 ~ 2020-07-31
Lisa A Ambrose 2418 Deltona Blvd, Spring Hill, FL 34606 Hairdresser/cosmetician 2019-02-01 ~ 2021-01-31
Patricia A Bain · Coldwell Banker R.e. Services 8034 Green Pines Terrace, Spring Hill, FL 34606 Real Estate Salesperson 1996-06-01 ~ 1997-05-31
Gerald T Murphy 6458 Tapestry Circle, Spring Hill, FL 34606 Registered Nurse 2015-12-01 ~ 2016-11-30
Edward M Perreault 4059 Windota Avenue, Spring Hill, FL 34606 Professional Counselor 2015-08-01 ~ 2016-07-31
Roy B Evensen 2205 Vista Royal Way, Spring Hill, FL 34606 Professional Engineer 1990-01-30 ~ 1991-01-31
Eric C Romblad 8449 Belmont Rd, Spring Hill, FL 34606 Licensed Practical Nurse 2008-10-20 ~ 2009-10-31
Josephine Waite 8177 Gentle, Spring Hill, FL 34606 Hairdresser/cosmetician 1999-12-07 ~ 2000-11-30
Ruth P Wharton 1332 London Ave, Spring Hill, FL 34606 Registered Nurse 1995-10-04 ~ 1996-09-30
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Competitor

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City Springhill
Zip Code 34606
License Type Physical Therapist
License Type + County Physical Therapist + Springhill

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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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