LAURIE A DEVALVE
Physical Therapist


Address: 99 Butternut Road, Manchester, CT 06040

LAURIE A DEVALVE (Credential# 689160) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 22, 2004. The license expiration date date is January 31, 2006. The license status is INACTIVE.

Business Overview

LAURIE A DEVALVE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.003314. The credential type is physical therapist. The effective date is December 22, 2004. The expiration date is January 31, 2006. The business address is 99 Butternut Road, Manchester, CT 06040. The current status is inactive.

Basic Information

Licensee Name LAURIE A DEVALVE
Credential ID 689160
Credential Number 14.003314
Credential Type Physical Therapist
Business Address 99 Butternut Road
Manchester
CT 06040
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1984-11-29
Effective Date 2004-12-22
Expiration Date 2006-01-31
Refresh Date 2009-07-08

Office Location

Street Address 99 BUTTERNUT ROAD
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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