NANCY R GALLUP
Physical Therapist


Address: 59826 State Highway 10, Hobart, NY 13788

NANCY R GALLUP (Credential# 687692) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is May 2, 2003. The license expiration date date is June 30, 2004. The license status is INACTIVE.

Business Overview

NANCY R GALLUP is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.000891. The credential type is physical therapist. The effective date is May 2, 2003. The expiration date is June 30, 2004. The business address is 59826 State Highway 10, Hobart, NY 13788. The current status is inactive.

Basic Information

Licensee Name NANCY R GALLUP
Credential ID 687692
Credential Number 14.000891
Credential Type Physical Therapist
Business Address 59826 State Highway 10
Hobart
NY 13788
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1965-06-21
Effective Date 2003-05-02
Expiration Date 2004-06-30
Refresh Date 2009-07-08

Office Location

Street Address 59826 State Highway 10
City HOBART
State NY
Zip Code 13788

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Jennifer Fox 207 Pearl Street, Hobart, NY 13788 Registered Nurse ~
Specgx LLC 172 Railroad Ave, Hobart, NY 13788-0416 Wholesaler of Drugs, Cosmetics & Medical Devices 2020-07-01 ~ 2021-06-30
Mallinckrodt LLC Po Box P, Hobart, NY 13788-0416 Wholesaler of Drugs, Cosmetics & Medical Devices 2017-07-01 ~ 2018-06-30

Licenses in the same city

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Shannon Louise Hall 3720 Parker St, Hobart, IN 46342 Registered Nurse 2019-11-01 ~ 2020-10-31

Competitor

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City HOBART
Zip Code 13788
License Type Physical Therapist
License Type + County Physical Therapist + HOBART

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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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