JACQUELINE E SULLIVAN
Physical Therapist Assistant


Address: 1104 Neipsic Rd, Glastonbury, CT 06033-2633

JACQUELINE E SULLIVAN (Credential# 932261) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.

Business Overview

JACQUELINE E SULLIVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001122. The credential type is physical therapist assistant. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 1104 Neipsic Rd, Glastonbury, CT 06033-2633. The current status is active.

Basic Information

Licensee Name JACQUELINE E SULLIVAN
Credential ID 932261
Credential Number 63.001122
Credential Type Physical Therapist Assistant
Business Address 1104 Neipsic Rd
Glastonbury
CT 06033-2633
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2010-08-02
Effective Date 2019-09-01
Expiration Date 2020-08-31
Refresh Date 2019-09-04

Office Location

Street Address 1104 NEIPSIC RD
City GLASTONBURY
State CT
Zip Code 06033-2633

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
James C Williams 1174 Neipsic Rd, Glastonbury, CT 06033-2633 Real Estate Broker 2015-04-01 ~ 2016-03-31
Neil Yeston Md · Hartford Hospital 1196 Neipsic Rd, Glastonbury, CT 06033-2633 Controlled Substance Registration for Practitioner 2013-03-01 ~ 2015-02-28

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Competitor

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City GLASTONBURY
Zip Code 06033
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + GLASTONBURY

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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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