ELAINE S CROCKETT
Physical Therapist


Address: 65 Overland St, Manchester, CT 06040

ELAINE S CROCKETT (Credential# 687764) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2012. The license expiration date date is April 30, 2013. The license status is INACTIVE.

Business Overview

ELAINE S CROCKETT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.001034. The credential type is physical therapist. The effective date is May 1, 2012. The expiration date is April 30, 2013. The business address is 65 Overland St, Manchester, CT 06040. The current status is inactive.

Basic Information

Licensee Name ELAINE S CROCKETT
Credential ID 687764
Credential Number 14.001034
Credential Type Physical Therapist
Business Address 65 Overland St
Manchester
CT 06040
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1967-11-09
Effective Date 2012-05-01
Expiration Date 2013-04-30
Refresh Date 2013-08-05

Office Location

Street Address 65 OVERLAND ST
City MANCHESTER
State CT
Zip Code 06040

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Andrea H Clifford 116 Longview Drive, Manchester, CT 06040 Licensed Practical Nurse 2020-09-01 ~ 2021-08-31
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Competitor

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City MANCHESTER
Zip Code 06040
License Type Physical Therapist
License Type + County Physical Therapist + MANCHESTER

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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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