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.
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.
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 |
Street Address | 41 MOSCOW ROAD |
City | JEFFERSON |
State | MA |
Zip Code | 01522 |
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 |
City | JEFFERSON |
Zip Code | 01522 |
License Type | Physical Therapist |
License Type + County | Physical Therapist + JEFFERSON |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Frances H Urbanik | 19 Woodruff Rd, Farmington, CT 06032 | Physical Therapist | 2004-11-15 ~ 2005-11-30 |
Kelli Hourihan | 175 Woodruff Rd, Milford, CT 06461-2229 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
Evan T O'brien | 230 Gilbert Ave, Pearl River, NY 10965-3016 | Physical Therapist | ~ |
Sharon H Strickland | 105 Evan Rd, Southington, CT 06489 | Physical Therapist | 2016-10-01 ~ 2017-09-30 |
Michelle B Mayer | 80 Woodruff Circle, Berlin, CT 06037 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
Evan F Kennedy | 42 Rosewood Drive, Vernon, CT 06066 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
Evan Menze | 140 Lavender Lane, Rocky Hill, CT 06067 | Physical Therapist | ~ |
Evan J Gonzalez | 69 Westwood Knls Apt 208, Meriden, CT 06450-6716 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
Russell Evan D Ong | 9606 N Boston Ave # 37, Lubbock, TX 79415-9628 | Physical Therapist | 2010-02-01 ~ 2011-01-31 |
Evan Cheman | 264 Skyline Dr, South Windsor, CT 06074-1376 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
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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).