LISA R TALLMAN
Physical Therapist Assistant


Address: 13717 Nw 2nd Avenue, Vancouver, WA 98685

LISA R TALLMAN (Credential# 787006) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is November 16, 2007. The license expiration date date is December 31, 2008. The license status is INACTIVE.

Business Overview

LISA R TALLMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000865. The credential type is physical therapist assistant. The effective date is November 16, 2007. The expiration date is December 31, 2008. The business address is 13717 Nw 2nd Avenue, Vancouver, WA 98685. The current status is inactive.

Basic Information

Licensee Name LISA R TALLMAN
Credential ID 787006
Credential Number 63.000865
Credential Type Physical Therapist Assistant
Business Address 13717 Nw 2nd Avenue
Vancouver
WA 98685
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-07-08
Effective Date 2007-11-16
Expiration Date 2008-12-31
Refresh Date 2009-07-08

Office Location

Street Address 13717 NW 2nd Avenue
City VanCouver
State WA
Zip Code 98685

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Mark E Williams 11211 Nw 5th Ave, Vancouver, WA 98685 Professional Engineer 1993-01-07 ~ 1994-01-31
Brandyn L Loughmiller 10706 Nw 4th Avenue, Vancouver, WA 98685 Registered Nurse 2003-12-24 ~ 2004-12-31
Robert G Mack 1217 Nw 138th St, Vancouver, WA 98685 Heating, Piping & Cooling Limited Journeyperson 2007-09-01 ~ 2008-08-31
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Kristy K Nelson 11411 Nw 8th Ct, Vancouver, WA 98685-4152 Registered Nurse 2016-05-01 ~ 2017-04-30

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Competitor

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City VanCouver
Zip Code 98685
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + VanCouver

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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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