CHANNON L PRUITT
Physical Therapist Assistant


Address: 40 Eastern Ave., Malden, MA 02148-9104

CHANNON L PRUITT (Credential# 786592) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license expiration date date is November 1, 2006. The license status is INACTIVE.

Business Overview

CHANNON L PRUITT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000450. The credential type is physical therapist assistant. The expiration date is November 1, 2006. The business address is 40 Eastern Ave., Malden, MA 02148-9104. The current status is inactive.

Basic Information

Licensee Name CHANNON L PRUITT
Credential ID 786592
Credential Number 63.000450
Credential Type Physical Therapist Assistant
Business Address 40 Eastern Ave.
Malden
MA 02148-9104
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-01-06
Expiration Date 2006-11-01
Refresh Date 2009-07-08

Office Location

Street Address 40 Eastern Ave.
City Malden
State MA
Zip Code 02148-9104

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Jennifer L English 40 Eastern Ave., Malden, MA 02148 Physical Therapist Assistant ~ 2006-11-01
Luke V Markert 40 Eastern Ave., Malden, MA 02148 Physical Therapist Assistant ~ 2006-11-01

Licenses in the same zip code

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Stephanie E Fappiano 1 Glenwood St, Malden, MA 02148 Registered Nurse 2020-06-01 ~ 2021-05-31
William J Theisen 2 Ridgewood Road, Malden, MA 02148 Registered Nurse 2020-05-01 ~ 2021-04-30
Emily Elizabeth Gregonis 1538 Eastern Ave, Malden, MA 02148 Registered Nurse ~
Meghan Riley 1182 Fellsway, Malden, MA 02148 Registered Nurse 2020-03-01 ~ 2021-02-28
Jeffrey A Manning 68 Princeton Rd., Malden, MA 02148 Professional Engineer 2020-02-01 ~ 2021-01-31
Kenneth J Petraglia 102 Rich St, Malden, MA 02148 Professional Engineer 2019-06-14 ~ 2020-01-31
Keri L Pyke 7 Preston St, Malden, MA 02148 Professional Engineer 2020-02-01 ~ 2021-01-31
Sudhir Suresh 192 Kennedy Dr Apt# 209, Malden, MA 02148 Professional Engineer 2020-02-01 ~ 2021-01-31
Chelsea A Clifford 10 Overlook Ridge Drive, Malden, MA 02148 Pharmacist 2020-02-01 ~ 2022-01-31
Brandon K Lejeune 500 Pleasant Street, Malden, MA 02148 Certified Public Accountant License 2020-01-01 ~ 2020-12-31
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Competitor

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City Malden
Zip Code 02148
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + Malden

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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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