AMANDA L WILLIS
Physical Therapist Assistant


Address: 27 Hart Dr., Poughkeepsie, NY 12603

AMANDA L WILLIS (Credential# 786758) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 21, 2001. The license expiration date date is November 1, 2006. The license status is INACTIVE.

Business Overview

AMANDA L WILLIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000617. The credential type is physical therapist assistant. The effective date is February 21, 2001. The expiration date is November 1, 2006. The business address is 27 Hart Dr., Poughkeepsie, NY 12603. The current status is inactive.

Basic Information

Licensee Name AMANDA L WILLIS
Credential ID 786758
Credential Number 63.000617
Credential Type Physical Therapist Assistant
Business Address 27 Hart Dr.
Poughkeepsie
NY 12603
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-06-16
Effective Date 2001-02-21
Expiration Date 2006-11-01
Refresh Date 2009-07-08

Office Location

Street Address 27 Hart Dr.
City Poughkeepsie
State NY
Zip Code 12603

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Competitor

Search similar business entities

City Poughkeepsie
Zip Code 12603
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + Poughkeepsie

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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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