TRACIE A WOOD (Credential# 692947) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is October 21, 2008. The license expiration date date is December 31, 2009. The license status is INACTIVE.
TRACIE A WOOD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.007372. The credential type is physical therapist. The effective date is October 21, 2008. The expiration date is December 31, 2009. The business address is 117 Hemlock Lane, Bloomsburg, PA 17815. The current status is inactive.
| Licensee Name | TRACIE A WOOD |
| Credential ID | 692947 |
| Credential Number | 14.007372 |
| Credential Type | Physical Therapist |
| Business Address |
117 Hemlock Lane Bloomsburg PA 17815 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-07-28 |
| Effective Date | 2008-10-21 |
| Expiration Date | 2009-12-31 |
| Refresh Date | 2010-04-16 |
| Street Address | 117 Hemlock Lane |
| City | Bloomsburg |
| State | PA |
| Zip Code | 17815 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael H Queen | 1103 Cherry Hill Rd, Bloomsburg, PA 17815 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Matthew J Vertucci | 3029 Woods Edge Dr, Bloomsburg, PA 17815 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Gino J Mongelluzzo | 213 W 3rd St, Bloomsburg, PA 17815 | Resident Physician | 2015-06-25 ~ 2019-06-30 |
| Gerald R Bodman | 98 Church Roadr, Bloomsburg, PA 17815 | Professional Engineer | 2003-02-01 ~ 2004-01-31 |
| Helen J Lough | P.o. Box 357, Bloomsburg, PA 17815 | Licensed Practical Nurse | 2004-09-13 ~ 2005-09-30 |
| Jeffery O Skjoldal Jr. | 76 Kile Drive, Bloomsburg, PA 17815 | Asbestos Abatement Supervisor | 2004-01-26 ~ 2004-04-30 |
| Leesa J Masteller | Rd #3 Boc 195, Bloomburg, PA 17815 | Physical Therapist | ~ 1999-02-28 |
| Alice F Wilson | 134 East 12th St, Bloomsburg, PA 17815 | Registered Nurse | 1992-06-25 ~ 1993-05-31 |
| Joseph Shovlin Md | 1250 Chestnut Street, Bloomburg, PA 17815 | Controlled Substance Registration for Practitioner | 1998-04-02 ~ 1999-02-28 |
| Elmer J Kelly | Rd 4 Box 139b, Bloomsburg, PA 17815 | Heating, Piping & Cooling Limited Journeyperson | ~ |
| Find all Licenses in zip 17815 | |||
| City | Bloomsburg |
| Zip Code | 17815 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + Bloomsburg |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tracie L Klekotka | 149 School St, Granby, MA 01033-9507 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Tracie M Croston | 308 Southfield Drive, Fayetteville, NY 13066 | Physical Therapist | ~ 1998-08-31 |
| Suzanne M Williams | 612 S Wood St, Fostoria, OH 44830-2449 | Physical Therapist | 2017-04-01 ~ 2018-03-31 |
| Ada E Gonzalez | 39 Aspen Wood Ln, Fairfield, CT 06825-3619 | Physical Therapist | 2011-11-01 ~ 2012-10-31 |
| Joanne R Wood | 81 Deepwood Rd, Fairfield, CT 06824 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Joan M Petosa · Tracie's Pub | 8 Divinity Street, Bristol, CT 06010 | Cafe Liquor | 2003-12-10 ~ 2004-12-09 |
| John F Burlenski | 218 Wood Pond Rd, Cheshire, CT 06410 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Valerie E Wood · Drzwecki | 14 Woodgaite Dr., Wolcott, CT 06716 | Physical Therapist | 2020-03-01 ~ 2021-02-28 |
| Stephanie Komp | 49 Wood Creek Rd, Burlington, CT 06013 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Martha J Fraro | 70 Wood Rd., Somers, CT 06071 | Physical Therapist Assistant | ~ 2006-11-01 |
Please comment or provide details below to improve the information on TRACIE A WOOD.
| 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).