RALEIGH B CLOUGH (Credential# 690882) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license expiration date date is June 30, 1996. The license status is INACTIVE.
RALEIGH B CLOUGH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005303. The credential type is physical therapist. The expiration date is June 30, 1996. The business address is 24811 West Prewett, Reardon, WA 99029. The current status is inactive.
| Licensee Name | RALEIGH B CLOUGH |
| Credential ID | 690882 |
| Credential Number | 14.005303 |
| Credential Type | Physical Therapist |
| Business Address |
24811 West Prewett Reardon WA 99029 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1995-08-18 |
| Expiration Date | 1996-06-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 24811 WEST PREWETT |
| City | REARDON |
| State | WA |
| Zip Code | 99029 |
| City | REARDON |
| Zip Code | 99029 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + REARDON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael A Vita Jr | 4208 Oakthorne Way, Raleigh, NC 27613-5922 | Physical Therapist | ~ |
| Carl B Casciere | 3617 Nightfall Ct, Raleigh, NC 27607-6370 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Kristen Wulfing | 4914 Summit Arbor Dr Apt 203, Raleigh, NC 27612-3368 | Physical Therapist | 2017-04-01 ~ 2018-03-31 |
| Kristin L Cozzi | 1422 Pitching Wedge Dr Apt 104, Raleigh, NC 27603-2864 | Physical Therapist | 2017-01-01 ~ 2017-12-31 |
| Angela L Hall | 1464 Garner Sta Blvd, Raleigh, NC 27603 | Physical Therapist | 1998-01-12 ~ 1999-02-28 |
| Wendy S Rainer | 8625 Kings Arms Way, Raleigh, NC 27615 | Physical Therapist | 2015-12-01 ~ 2016-11-30 |
| Betty Franks | 5824 Norwood Oaks Dr, Raleigh, NC 27614 | Physical Therapist | 1994-12-19 ~ 1996-02-29 |
| Stacey M Tulloch | 1111 J Ladys Slipper, Raleigh, NC 27606 | Physical Therapist | 1998-11-10 ~ 1999-11-30 |
| Debra L Robertson | 1464 Garner Stat10n, Raleigh, NC 27603 | Physical Therapist | 1998-05-26 ~ 1999-07-31 |
| Connie Collins Johnson | 1299 G Schaub Drive, Raleigh, NC 27606 | Physical Therapist | 1993-06-24 ~ 1994-05-31 |
Please comment or provide details below to improve the information on RALEIGH B CLOUGH.
| 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).