MARVIN LAWRENCE VIVAS MARTINEZ (Credential# 1470996) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is January 18, 2018. The license expiration date date is April 30, 2018. The license status is INACTIVE.
MARVIN LAWRENCE VIVAS MARTINEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011719. The credential type is physical therapist. The effective date is January 18, 2018. The expiration date is April 30, 2018. The business address is 52 Toler Loop Apt 2, Belfry, KY 41514-8692. The current status is inactive.
| Licensee Name | MARVIN LAWRENCE VIVAS MARTINEZ |
| Credential ID | 1470996 |
| Credential Number | 14.011719 |
| Credential Type | Physical Therapist |
| Business Address |
52 Toler Loop Apt 2 Belfry KY 41514-8692 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2018-01-18 |
| Effective Date | 2018-01-18 |
| Expiration Date | 2018-04-30 |
| Refresh Date | 2018-08-03 |
| Street Address | 52 TOLER LOOP APT 2 |
| City | BELFRY |
| State | KY |
| Zip Code | 41514-8692 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keldra Dawn Cooper | 150 Church of Christ Rd, Belfry, KY 41514-7936 | Registered Nurse - Temporary | 2020-04-28 ~ 2020-08-26 |
| City | BELFRY |
| Zip Code | 41514 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + BELFRY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marvin G Martinez | 15 Vine St, Lawrence, MA 01841-2716 | Asbestos Abatement Worker | 2011-03-01 ~ 2012-02-29 |
| Marvin R Abraham | C/o Medpro Staffing, Ft. Lauderdale, FL 33309 | Physical Therapist | ~ |
| Marvin Moss | 32 Glover Ave, Yonkers, NY 10704 | Physical Therapist | 1993-09-23 ~ 1994-08-31 |
| Mary Lynn S Gibson | 423 Lawrence Rd Apt 312, Lawrence, NJ 08648-4214 | Physical Therapist | ~ 1986-06-30 |
| Marvin P Royal II | 2015 Gates Ct, Morris Plains, NJ 07950-3427 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Irish Tudtud | 210 Brooks Dr, Martinez, GA 30907 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
| Michael Martinez | 86 Downes St, Waterbury, CT 06704-1001 | Physical Therapist Assistant | 2020-07-01 ~ 2021-06-30 |
| Gleny G Martinez | 318 Schaeffer St, Brooklyn, NY 11237 | Physical Therapist Assistant | 2006-02-01 ~ 2006-11-01 |
| Paul Valerio | 418 Grafton Court, Martinez, GA 30907 | Physical Therapist | 2015-02-01 ~ 2016-01-31 |
| Marvin Lawrence · Lawrence Remodeling Contrs | 65 Glenbrook Rd Apt #4e, Stamford, CT 06902 | Home Improvement Salesperson | 2006-12-15 ~ 2007-11-30 |
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| 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).