JUDITH S GAMBOA (Credential# 694157) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2010. The license expiration date date is July 31, 2011. The license status is INACTIVE.
JUDITH S GAMBOA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008582. The credential type is physical therapist. The effective date is August 1, 2010. The expiration date is July 31, 2011. The business address is 920 Mott St, New Madrid, MO 63869-1823. The current status is inactive.
| Licensee Name | JUDITH S GAMBOA |
| Credential ID | 694157 |
| Credential Number | 14.008582 |
| Credential Type | Physical Therapist |
| Business Address |
920 Mott St New Madrid MO 63869-1823 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2009-07-08 |
| Effective Date | 2010-08-01 |
| Expiration Date | 2011-07-31 |
| Refresh Date | 2011-11-07 |
| Street Address | 920 MOTT ST |
| City | NEW MADRID |
| State | MO |
| Zip Code | 63869-1823 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ladonna J Williams | Po Box 361, New Madrid, MO 63869 | Registered Nurse | 2002-09-26 ~ 2003-01-31 |
| City | NEW MADRID |
| Zip Code | 63869 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + NEW MADRID |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark Joseph V Gamboa | 15 Brookview Terrace, Madison, CT 06443 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Carlos Gamboa Munoz · Gamboa's Painting | 57 Dean Rd, Carmel, NY 10512-3115 | Home Improvement Contractor | 2016-07-25 ~ 2016-11-30 |
| Victor Gamboa · Gamboa General Contractor | 83 Oakley St, New Haven, CT 06513 | Home Improvement Contractor | 2018-09-10 ~ 2019-11-30 |
| Shreya K Panwala | 13 Judith Ln Apt 2, Waltham, MA 02452-7253 | Physical Therapist | ~ |
| Judith F Rowland | 611 Avondale Ave, Haddonfield, NJ 08033 | Physical Therapist | 2009-02-19 ~ 2010-04-30 |
| Judith S Swee | 24 Lovell St, Mahopac, NY 10541-3961 | Physical Therapist | 2015-04-01 ~ 2016-03-31 |
| Judith M Tiberio | P.o. Box 0034, Storrs, CT 06268 | Physical Therapist | 2004-06-17 ~ 2005-06-30 |
| Judith A Weatherbee | 168 Birch St, Bangor, ME 04401-4024 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Judith E Speckmann | 33 Preli Ct, Southington, CT 06489 | Physical Therapist | 2003-03-12 ~ 2004-04-30 |
| Judith A Vanatta | 673 Shennecossett Rd., Groton, CT 06340 | Physical Therapist | 2005-04-21 ~ 2006-04-30 |
Please comment or provide details below to improve the information on JUDITH S GAMBOA.
| 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).