NICOLE M MOORE-PERULLO
Speech and Language Pathologist


Address: 396 Prince Royal Dr, Corte Madera, CA 94925

NICOLE M MOORE-PERULLO (Credential# 698169) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is February 27, 2007. The license expiration date date is April 30, 2008. The license status is INACTIVE.

Business Overview

NICOLE M MOORE-PERULLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.003598. The credential type is speech and language pathologist. The effective date is February 27, 2007. The expiration date is April 30, 2008. The business address is 396 Prince Royal Dr, Corte Madera, CA 94925. The current status is inactive.

Basic Information

Licensee Name NICOLE M MOORE-PERULLO
Credential ID 698169
Credential Number 18.003598
Credential Type Speech and Language Pathologist
Business Address 396 Prince Royal Dr
Corte Madera
CA 94925
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-10-22
Effective Date 2007-02-27
Expiration Date 2008-04-30
Refresh Date 2009-07-08

Office Location

Street Address 396 PRINCE ROYAL DR
City CORTE MADERA
State CA
Zip Code 94925

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Marie C Giarratana-young 618 Oakdale Ave, Corte Madera, CA 94925 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
David M Johnson 94 Golden Hind Passage, Corte Madera, CA 94925 Architect 2015-08-01 ~ 2016-07-31
Presidio Brands, Inc. · Every Man Jack 500 Tamal Plaza, Corte Madera, CA 94925 Out of State Manufacturer of Drugs, Cosmetics & Medical Devices 2016-11-17 ~
Joseph Erik Strickler 711 Meadowsweet Drive, Corte Madera, CA 94925 Certified Public Accountant Certificate ~
Educate America! The Education School Support and Scholarship Funds Coalition 21 Tamal Vista Blvd, #209, Corte Madera, CA 94925 Public Charity ~
Lynn Fabian 432 Robin Dr, Corte Madera, CA 94925 Physical Therapist 2003-09-11 ~ 2004-09-30
Kandee Adams · Matthews Adams 33 Creekside Court, Corte Madera, CA 94925 Speech and Language Pathologist 1994-12-12 ~ 1995-12-31
Mary Regan 664 Redwood Avenue, Corte Madera, CA 94925 Registered Nurse 1999-07-12 ~ 2000-09-30
Lisa A Jablon 1411 Casa Buena Dr #26, Corte Madera, CA 94925 Pharmacist 1800-12-27 ~ 1991-03-31
Russ Braun Md 177 Birch Ave, Corte Madera, CA 94925-1046 Physician/surgeon 2020-09-01 ~ 2021-08-31
Find all Licenses in zip 94925

Competitor

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City CORTE MADERA
Zip Code 94925
License Type Speech and Language Pathologist
License Type + County Speech and Language Pathologist + CORTE MADERA

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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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