RAYMOND J MALLORY
Physical Therapist


Address: 151 Paul Place, Fairfield, CT 06430

RAYMOND J MALLORY (Credential# 690735) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 15, 2000. The license expiration date date is November 30, 2001. The license status is INACTIVE.

Business Overview

RAYMOND J MALLORY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005154. The credential type is physical therapist. The effective date is November 15, 2000. The expiration date is November 30, 2001. The business address is 151 Paul Place, Fairfield, CT 06430. The current status is inactive.

Basic Information

Licensee Name RAYMOND J MALLORY
Credential ID 690735
Credential Number 14.005154
Credential Type Physical Therapist
Business Address 151 Paul Place
Fairfield
CT 06430
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-05-26
Effective Date 2000-11-15
Expiration Date 2001-11-30
Refresh Date 2009-07-08

Office Location

Street Address 151 PAUL PLACE
City FAIRFIELD
State CT
Zip Code 06430

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Competitor

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City FAIRFIELD
Zip Code 06430
License Type Physical Therapist
License Type + County Physical Therapist + FAIRFIELD

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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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