CARISSE C GRAHAM
Physical Therapist


Address: 63580 Lowe Plank Rd, Lenox, MI 48050-2404

CARISSE C GRAHAM (Credential# 893082) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2011. The license expiration date date is May 31, 2012. The license status is INACTIVE.

Business Overview

CARISSE C GRAHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008626. The credential type is physical therapist. The effective date is June 1, 2011. The expiration date is May 31, 2012. The business address is 63580 Lowe Plank Rd, Lenox, MI 48050-2404. The current status is inactive.

Basic Information

Licensee Name CARISSE C GRAHAM
Credential ID 893082
Credential Number 14.008626
Credential Type Physical Therapist
Business Address 63580 Lowe Plank Rd
Lenox
MI 48050-2404
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-08-20
Effective Date 2011-06-01
Expiration Date 2012-05-31
Refresh Date 2012-09-04

Office Location

Street Address 63580 LOWE PLANK RD
City LENOX
State MI
Zip Code 48050-2404

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Jeffrey D Brown 5 Walker St Ste 1, Lenox, MA 01240-2723 Pharmacist 2018-02-01 ~ 2020-01-31
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Dwight Lane 489 Walker St, Lenox, MA 01240-2751 Home Improvement Contractor 2019-12-01 ~ 2020-11-30
Kevin J Dinan 353 Housatonic St, Lenox, MA 01240-2606 Fire Protection Limited Contractor 2019-11-01 ~ 2020-10-31
Jacqueline A Schmidt 813 East St, Lenox, MA 01240-2213 Registered Nurse 2019-10-01 ~ 2020-09-30
Joseph A Jackson 66 Old Stockbridge, Lenox, MA 01240 Licensed Clinical Social Worker 2019-09-01 ~ 2020-08-31
Lenox Village Pharmacy 5 Walker St, Lenox, MA 01240-2723 Nonresident Pharmacy 2019-09-01 ~ 2020-08-31
George E Chasse 18 Morgan St, Lenox, MA 01240 Landscape Architect 2019-08-01 ~ 2020-07-31
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Competitor

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City LENOX
Zip Code 48050
License Type Physical Therapist
License Type + County Physical Therapist + LENOX

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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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