EVAN WOODRUFF
Physical Therapist


Address: 41 Moscow Road, Jefferson, MA 01522

EVAN WOODRUFF (Credential# 1594849) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is March 14, 2019. The license expiration date date is October 31, 2019. The license status is INACTIVE.

Business Overview

EVAN WOODRUFF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.012151. The credential type is physical therapist. The effective date is March 14, 2019. The expiration date is October 31, 2019. The business address is 41 Moscow Road, Jefferson, MA 01522. The current status is inactive.

Basic Information

Licensee Name EVAN WOODRUFF
Credential ID 1594849
Credential Number 14.012151
Credential Type Physical Therapist
Business Address 41 Moscow Road
Jefferson
MA 01522
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2019-03-14
Effective Date 2019-03-14
Expiration Date 2019-10-31
Refresh Date 2020-02-03

Office Location

Street Address 41 MOSCOW ROAD
City JEFFERSON
State MA
Zip Code 01522

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Kathleen E Renaud 110 B Manning Street, Jefferson, MA 01522 Registered Nurse 2020-06-01 ~ 2021-05-31
Kathryn Elizabeth Lally 271 Quinapoxet Street, Jefferson, MA 01522 Master's Level Social Worker 2018-09-01 ~ 2019-08-31
Alpha P Madsen 16 Windy Ridge, Jefferson, MA 01522 Crane Operator 2002-10-01 ~ 2004-09-30
David Dobson Jr. 1 - 3 General Hobbs Road, Jefferson, MA 01522 Crane Operator 1994-11-24 ~ 1996-11-23
Michele K Earley 5 Village Way, Jefferson, MA 01522 Registered Nurse 2006-10-04 ~ 2007-11-30
Lynn B Fischer 354 Manning St, Jefferson, MA 01522 Physical Therapist 2004-01-05 ~ 2004-10-31
Carole C Lyman · Taylor 1440 Wachusett St, Jefferson, MA 01522 Advanced Practice Registered Nurse 1994-11-17 ~ 1995-12-31
Paul A Ricciardi 56 Heather Circle, Jefferson, MA 01522 Physician/surgeon 1997-05-02 ~ 1998-05-31
Kathryn A Hannam 5 Slipper Hill Lane, Jefferson, MA 01522 Athletic Trainer 2006-10-25 ~ 2007-08-31
Beverly E Leighton 15 Nichols St #4, Jefferson, MA 01522 Real Estate Salesperson ~
Find all Licenses in zip 01522

Competitor

Search similar business entities

City JEFFERSON
Zip Code 01522
License Type Physical Therapist
License Type + County Physical Therapist + JEFFERSON

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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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