BROCK J DODSWORTH
Physical Therapist Assistant


Address: 312 N. Rubey Street, Macon, MO 63552

BROCK J DODSWORTH (Credential# 787173) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 2, 2009. The license expiration date date is July 31, 2010. The license status is INACTIVE.

Business Overview

BROCK J DODSWORTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001032. The credential type is physical therapist assistant. The effective date is July 2, 2009. The expiration date is July 31, 2010. The business address is 312 N. Rubey Street, Macon, MO 63552. The current status is inactive.

Basic Information

Licensee Name BROCK J DODSWORTH
Credential ID 787173
Credential Number 63.001032
Credential Type Physical Therapist Assistant
Business Address 312 N. Rubey Street
Macon
MO 63552
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-09-29
Effective Date 2009-07-02
Expiration Date 2010-07-31
Refresh Date 2010-11-02

Office Location

Street Address 312 N. Rubey Street
City Macon
State MO
Zip Code 63552

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Conagra Frozen Foods Po Box 0037, Macon, MO 63552-0037 Bakery 1998-07-01 ~ 1999-06-30
Brianna K Andrade 803 Willow Creek Dr, Macon, MO 63552-1820 Speech and Language Pathologist 2016-10-01 ~ 2017-09-30
Jennifer Ann Heckman 1004 Crestview Dr, Macon, MO 63552-2230 Registered Nurse - Temporary 2018-12-18 ~ 2019-04-17

Licenses in the same city

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Nancy K Crawford 108 South Haven Court, Macon, GA 31210 Registered Nurse 2020-09-01 ~ 2021-08-31
Emily Ruth Youngblood 1475 Lone Oak Road, Macon, GA 31211 Registered Nurse 2020-08-01 ~ 2021-07-31
Sleepmed Therapies Inc 275 Sheraton Blvd # 200, Macon, GA 31210-1359 Wholesaler of Drugs, Cosmetics & Medical Devices 2018-07-01 ~ 2019-06-30
Wanda F Rutland Bond 1544 Sgoda Rd, Macon, GA 31217-7929 Registered Nurse 2020-05-01 ~ 2021-04-30
Vicente M Lim 519 Whistler Ln N, Macon, GA 31210-7601 Physical Therapist 2020-06-01 ~ 2021-05-31
Kimberly Ruthnetta Williams 1872 Crestview Dr, Macon, GA 31211-1606 Registered Nurse - Temporary 2020-04-16 ~ 2020-08-14
Barnett Products Co Inc 3879 Lake St, Macon, GA 31209 Manufacturer of Bedding & Upholstered Furniture 2020-05-01 ~ 2021-04-30
Shaina Marie Wetula 5478 Sardis Church Rd, Macon, GA 31216-6020 Registered Nurse 2019-01-02 ~ 2019-10-31
Merjohn Mining, LLC 5082 Forsyth Road, Macon, GA 31210 Securities - Exemptions 2020-01-21 ~
Isis B Taylor 102 Lichelle Ct, Macon, GA 31210-4247 Registered Nurse 2020-02-01 ~ 2021-01-31
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Competitor

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City Macon
Zip Code 63552
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + Macon

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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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