WALLACE R WILSON (Credential# 692988) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is September 10, 2003. The license expiration date date is September 30, 2004. The license status is INACTIVE.
WALLACE R WILSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.007413. The credential type is physical therapist. The effective date is September 10, 2003. The expiration date is September 30, 2004. The business address is 594 Lee Road 96, Opelika, AL 36801. The current status is inactive.
| Licensee Name | WALLACE R WILSON |
| Credential ID | 692988 |
| Credential Number | 14.007413 |
| Credential Type | Physical Therapist |
| Business Address |
594 Lee Road 96 Opelika AL 36801 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-09-10 |
| Effective Date | 2003-09-10 |
| Expiration Date | 2004-09-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 594 Lee Road 96 |
| City | Opelika |
| State | AL |
| Zip Code | 36801 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shelby I Wilson | 594 Lee Road 96, Opelika, AL 36801 | Physical Therapist | 2003-09-23 ~ 2004-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gambro Renal Products, Inc. | 1101 Jeter Avenue, Opelika, AL 36801 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2019-02-28 ~ |
| Jason H Dorey | P.o. Box 1663, Opelika, AL 36801 | Physician/surgeon | ~ 1997-05-31 |
| Patricia A Lance | 149 Midway Manor, Opelika, AL 36801 | Registered Nurse | 2001-10-30 ~ 2002-10-31 |
| Pope Hill IIi | 5817 Lee Road 54, Opelika, AL 36801 | Occupational Therapist Assistant | 1995-05-25 ~ 1997-07-31 |
| Charles T Tomlinson | 801 North Hills Dr, Opelika, AL 36801 | Registered Nurse | 2003-02-04 ~ 2003-10-31 |
| Roadmaster Corporation | 309 Williamson Ave, Opelika, AL 36801 | Manufacturer of Bedding & Upholstered Furniture | 1997-07-14 ~ 1998-04-30 |
| Tammy B Hightower | 801 N 10th St, Opelika, AL 36801-3918 | Shorthand Court Reporter | 2000-10-13 ~ 2001-12-31 |
| Cal City Medical Supply Inc | 715 1st Ave, Opelika, AL 36801-4309 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2015-07-01 ~ 2016-06-30 |
| Smart Remedies | 715 1st Ave, Opelika, AL 36801-4309 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2012-03-15 ~ 2012-06-30 |
| Cal City Medical Supply Inc | 715 First Avenue, Opelika, AL 36801-4969 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2013-07-01 ~ 2014-06-30 |
| Find all Licenses in zip 36801 | |||
| City | Opelika |
| Zip Code | 36801 |
| License Type | Physical Therapist |
| License Type + County | Physical Therapist + Opelika |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa A Wilson-foley · Wilson | 76 Hartford Road, Simsbury, CT 06070 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
| Susan D Wallace | P.o. Box 192, Rudy, AR 72952 | Physical Therapist | ~ 1996-11-30 |
| Donna M Reardon | 8 Wallace Rd., Sturbridge, MA 01566 | Physical Therapist | 2009-11-01 ~ 2010-10-31 |
| Patrick W Wallace | 127 Broad St, Williston Park, NY 11596-1805 | Physical Therapist | 2013-08-01 ~ 2014-07-31 |
| Robert D Wallace | 3 Hart Rd, Guilford, CT 06437-1129 | Physical Therapist Assistant | 2019-08-01 ~ 2020-07-31 |
| Marty D Wallace | 506 Forest St., Monroe, GA 30655 | Physical Therapist Assistant | 2001-02-21 ~ 2006-11-01 |
| H Timmie Wallace | 90 Lyford Drive, Tiburon, CA 94920 | Physical Therapist | 2004-01-20 ~ 2004-11-30 |
| Judy R Wallace | 49 Cope Farms Rd, Farmington, CT 06032 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Sarah Wallace | 44 Matthew Street, Prospect, CT 06712 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Miranda A Wallace | 113 Strawberry St, Jewett City, CT 06351-2848 | Physical Therapist | 2016-11-01 ~ 2017-10-31 |
Please comment or provide details below to improve the information on WALLACE R WILSON.
| 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).