PATRICK W WALLACE
Physical Therapist


Address: 127 Broad St, Williston Park, NY 11596-1805

PATRICK W WALLACE (Credential# 694099) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2013. The license expiration date date is July 31, 2014. The license status is INACTIVE.

Business Overview

PATRICK W WALLACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008524. The credential type is physical therapist. The effective date is August 1, 2013. The expiration date is July 31, 2014. The business address is 127 Broad St, Williston Park, NY 11596-1805. The current status is inactive.

Basic Information

Licensee Name PATRICK W WALLACE
Credential ID 694099
Credential Number 14.008524
Credential Type Physical Therapist
Business Address 127 Broad St
Williston Park
NY 11596-1805
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-04-15
Effective Date 2013-08-01
Expiration Date 2014-07-31
Refresh Date 2014-12-11

Office Location

Street Address 127 BROAD ST
City WILLISTON PARK
State NY
Zip Code 11596-1805

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Timothy Gerard Reynolds Jr 131 Broad St, Williston Park, NY 11596-1805 Certified Public Accountant License 2013-01-01 ~ 2013-12-31

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Jenny Joseph 119 Center Street, Williston Park, NY 11596 Master's Level Social Worker 2020-07-01 ~ 2021-06-30
Moslehuddin M Abdullah 15 Lipton Ln, Williston Park, NY 11596 Professional Engineer 2020-02-01 ~ 2021-01-31
Thomas Magaldi 200 Capitol Ave, Williston Pk, NY 11596 Pharmacist 2020-02-01 ~ 2022-01-31
Elizabeth A Kennedy 115 Shields Ave, Williston Park, NY 11596 Registered Nurse 2020-01-01 ~ 2020-12-31
Zakiya Begum 15 Lipton Lane, Williston Park, NY 11596 Physician Assistant 2019-10-01 ~ 2020-09-30
Lisa J Donato 130 Cornwell Avenue, Williston Park, NY 11596 Veterinarian 2019-07-01 ~ 2020-06-30
Izzo Construction Corporation 31 Post Ave, East Williston, NY 11596 Home Improvement Contractor 2008-12-01 ~ 2009-11-30
Robert Michael Brzezinski 281 Hillside Avenue, Williston Park, NY 11596 Emergency Medical Technician ~
David Bahk 415 Titus Wy, Williston Park, NY 11596 Pharmacy Intern 2017-08-22 ~ 2020-09-30
Kelly A Striegel 171 Capitol Ave., Williston Park, NY 11596 Registered Nurse - Temporary 2016-01-05 ~ 2016-05-03
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Competitor

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City WILLISTON PARK
Zip Code 11596
License Type Physical Therapist
License Type + County Physical Therapist + WILLISTON PARK

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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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