MARY I DALLAS
Physical Therapist


Address: 9 Quarry Dock Road, Branford, CT 06405

MARY I DALLAS (Credential# 691860) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2016. The license expiration date date is November 30, 2017. The license status is INACTIVE.

Business Overview

MARY I DALLAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.006284. The credential type is physical therapist. The effective date is December 1, 2016. The expiration date is November 30, 2017. The business address is 9 Quarry Dock Road, Branford, CT 06405. The current status is inactive.

Basic Information

Licensee Name MARY I DALLAS
Credential ID 691860
Credential Number 14.006284
Credential Type Physical Therapist
Business Address 9 Quarry Dock Road
Branford
CT 06405
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-10-02
Effective Date 2016-12-01
Expiration Date 2017-11-30
Refresh Date 2018-03-05

Office Location

Street Address 9 Quarry Dock Road
City Branford
State CT
Zip Code 06405

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Competitor

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City Branford
Zip Code 06405
License Type Physical Therapist
License Type + County Physical Therapist + Branford

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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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