SUSANNE J PORTER
Physical Therapist


Address: 916 Devonshire Drive, Champaign, IL 61821

SUSANNE J PORTER (Credential# 691461) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is October 15, 1997. The license expiration date date is October 31, 1998. The license status is INACTIVE.

Business Overview

SUSANNE J PORTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005885. The credential type is physical therapist. The effective date is October 15, 1997. The expiration date is October 31, 1998. The business address is 916 Devonshire Drive, Champaign, IL 61821. The current status is inactive.

Basic Information

Licensee Name SUSANNE J PORTER
Credential ID 691461
Credential Number 14.005885
Credential Type Physical Therapist
Business Address 916 Devonshire Drive
Champaign
IL 61821
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-08-29
Effective Date 1997-10-15
Expiration Date 1998-10-31
Refresh Date 2009-07-08

Office Location

Street Address 916 DEVONSHIRE DRIVE
City CHAMPAIGN
State IL
Zip Code 61821

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Mark L Johnson 1307 Theodore Dr, Champaign, IL 61821 Professional Engineer 1993-12-22 ~ 1995-01-31
Scott Brannan 16 Greencroft Dr, Champaign, IL 61821 Physician/surgeon 2014-06-01 ~ 2015-05-31
Harry L Baxter 2111 O'donnell Dr, Champaign, IL 61821 Architect 2008-08-04 ~ 2009-07-31
Teresa G Battisi-cole 2503 W Springfield, Champaign, IL 61821 Hairdresser/cosmetician 1993-06-24 ~ 1994-08-31
Ann Flanagan-petry 2616 Stillwater Dr., Champaign, IL 61821 Licensed Clinical Social Worker 2001-06-18 ~ 2002-05-31
Richard A French 2107 W White St, Champaign, IL 61821-2938 Veterinarian ~ 1989-12-31
Muna Zughayer 1004 S Harrington Dr, Champaign, IL 61821-3328 Pharmacist 2020-02-01 ~ 2022-01-31
John Anthony Agapis 919 W Church St, Champaign, IL 61821-3331 Dentist ~
Julie A Stembridge 1406 Cambridge Dr, Champaign, IL 61821-4960 Registered Nurse 2010-06-01 ~ 2011-06-30
Sheila Gillespie Gillette 63 Greencroft Dr, Champaign, IL 61821-5114 Registered Nurse 1984-08-31 ~ 1989-10-31
Find all Licenses in zip 61821

Competitor

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City CHAMPAIGN
Zip Code 61821
License Type Physical Therapist
License Type + County Physical Therapist + CHAMPAIGN

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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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