DIANE M O'SULLIVAN
Physical Therapist


Address: P O Box 7096, Hicksville, NY 11801

DIANE M O'SULLIVAN (Credential# 690078) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is May 27, 1992. The license expiration date date is May 31, 1993. The license status is INACTIVE.

Business Overview

DIANE M O'SULLIVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.004493. The credential type is physical therapist. The effective date is May 27, 1992. The expiration date is May 31, 1993. The business address is P O Box 7096, Hicksville, NY 11801. The current status is inactive.

Basic Information

Licensee Name DIANE M O'SULLIVAN
Credential ID 690078
Credential Number 14.004493
Credential Type Physical Therapist
Business Address P O Box 7096
Hicksville
NY 11801
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1991-12-09
Effective Date 1992-05-27
Expiration Date 1993-05-31
Refresh Date 2009-07-08

Office Location

Street Address P O BOX 7096
City HICKSVILLE
State NY
Zip Code 11801

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Competitor

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City HICKSVILLE
Zip Code 11801
License Type Physical Therapist
License Type + County Physical Therapist + HICKSVILLE

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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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