SAMUEL M KELOKATES
Physical Therapist


Address: 20 Tomahawk Ct, Medford, NJ 08055-8324

SAMUEL M KELOKATES (Credential# 1285594) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is June 9, 2015. The license expiration date date is June 30, 2016. The license status is INACTIVE.

Business Overview

SAMUEL M KELOKATES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.010515. The credential type is physical therapist. The effective date is June 9, 2015. The expiration date is June 30, 2016. The business address is 20 Tomahawk Ct, Medford, NJ 08055-8324. The current status is inactive.

Basic Information

Licensee Name SAMUEL M KELOKATES
Credential ID 1285594
Credential Number 14.010515
Credential Type Physical Therapist
Business Address 20 Tomahawk Ct
Medford
NJ 08055-8324
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2015-06-09
Effective Date 2015-06-09
Expiration Date 2016-06-30
Refresh Date 2016-10-03

Office Location

Street Address 20 TOMAHAWK CT
City MEDFORD
State NJ
Zip Code 08055-8324

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Lina Marcela Velez 2 Dakota Trail, Medford, NJ 08055 Registered Nurse - Temporary 2016-08-29 ~ 2016-12-26
James P Scott 36 Cranberry Ct, Medford, NJ 08055 Professional Engineer 1993-01-25 ~ 1994-01-31
Bryan H Atkinson 1 Eden Circle Rd, Medford, NJ 08055 Professional Engineer 2005-02-01 ~ 2006-01-31
Mary F Etter 15 Elderberry Drive, Medford, NJ 08055 Registered Nurse 2014-07-01 ~ 2015-06-30
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Competitor

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City MEDFORD
Zip Code 08055
License Type Physical Therapist
License Type + County Physical Therapist + MEDFORD

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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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