ROBERT D WALLACE (Credential# 1162346) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
ROBERT D WALLACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001354. The credential type is physical therapist assistant. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 3 Hart Rd, Guilford, CT 06437-1129. The current status is active.
| Licensee Name | ROBERT D WALLACE |
| Credential ID | 1162346 |
| Credential Number | 63.001354 |
| Credential Type | Physical Therapist Assistant |
| Business Address |
3 Hart Rd Guilford CT 06437-1129 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-05-23 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-07-01 |
| Street Address | 3 HART RD |
| City | GUILFORD |
| State | CT |
| Zip Code | 06437-1129 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elyse T Karpa | 3 Hart Rd, Guilford, CT 06437-2344 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Emily S O'reilly | 7 Hart Rd, Guilford, CT 06437-1129 | Pharmacy Technician | 2012-04-01 ~ 2013-03-31 |
| Kimberly M Lombard | 800 Village Walk, Guilford, CT 06437-1129 | Real Estate Salesperson | 2018-06-01 ~ 2019-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jane E Olsen | Po Box 601, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-27 ~ 2021-05-31 |
| Alanna Munzenmaier | 81 Saw Mill Rd, Guilford, CT 06437 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Sandra L Lion | 84 Granite Road, Guilford, CT 06437 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Nimet H Memik-moavero | 110 Cherry Street, Guilford, CT 06437 | Real Estate Salesperson | ~ |
| Jacklyn Nicole Basilicato | 345 Saw Mill Road, Guilford, CT 06437 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Alissa Bailey | 5 Streamview Circle, Guilford, CT 06437 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| The Marketplace Emporia LLC · The Marketplace Emporia, LLC | 77-79 Whitfield Street, Guilford, CT 06437 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Deborah Ackles | 46clear Lake Manor Road, Guilford, CT 06437 | Veterinarian | 2020-08-01 ~ 2021-07-31 |
| Bruce D Mccann | 200 State St, Guilford, CT 06437 | Architect | 2020-08-01 ~ 2021-07-31 |
| Stephanie J Jacobs | 130 Winthrop Rd, Guilford, CT 06437 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Find all Licenses in zip 06437 | |||
| City | GUILFORD |
| Zip Code | 06437 |
| License Type | Physical Therapist Assistant |
| License Type + County | Physical Therapist Assistant + GUILFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marty D Wallace | 506 Forest St., Monroe, GA 30655 | Physical Therapist Assistant | 2001-02-21 ~ 2006-11-01 |
| Brandon Tyler Smith | 24 Wallace Row # 1b, Wallingford, CT 06492-3137 | Physical Therapist Assistant | 2020-06-17 ~ 2020-08-31 |
| Michell N Wallace | 2810 Old Town Rd, Bridgeport, CT 06606-1243 | Physical Therapist Assistant | 2020-05-01 ~ 2021-04-30 |
| Eric J Irizarry | 19 Wallace Ave., Mount Vernon, NY 10552 | Physical Therapist Assistant | 2004-07-13 ~ 2006-11-01 |
| Nicholas Wallace Scott | 15 Freedom Way, Niantic, CT 06357-1044 | Physical Therapist Assistant | 2020-01-17 ~ 2020-09-30 |
| Robert C Lopez | 24 Hospital Ave., Danbury, CT 06810 | Physical Therapist Assistant | ~ 2006-11-01 |
| Robert R Reid | 44 Brickyard Rd, Clinton, CT 06413-1435 | Physical Therapist Assistant | 2012-07-01 ~ 2013-06-30 |
| Robert J Collins | 23 Lydia Ave, Woonsocket, RI 02895-6034 | Physical Therapist Assistant | 2019-12-01 ~ 2020-11-30 |
| Robert C Viscardi | 12 Stovell St, Milford, CT 06460-5837 | Physical Therapist Assistant | 2018-09-01 ~ 2019-08-31 |
| Robert G Shuhs | 60 Church St., Yalesville, CT 06492 | Physical Therapist Assistant | 2001-02-20 ~ 2006-11-01 |
Please comment or provide details below to improve the information on ROBERT D WALLACE.
| 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).