CHRISTINE LARA NATIVIDAD
Physical Therapist


Address: 7501 Democracy Blvd Apt B117, Bethesda, MD 20817-1235

CHRISTINE LARA NATIVIDAD (Credential# 1000175) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2013. The license expiration date date is November 30, 2014. The license status is INACTIVE.

Business Overview

CHRISTINE LARA NATIVIDAD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009685. The credential type is physical therapist. The effective date is December 1, 2013. The expiration date is November 30, 2014. The business address is 7501 Democracy Blvd Apt B117, Bethesda, MD 20817-1235. The current status is inactive.

Basic Information

Licensee Name CHRISTINE LARA NATIVIDAD
Credential ID 1000175
Credential Number 14.009685
Credential Type Physical Therapist
Business Address 7501 Democracy Blvd Apt B117
Bethesda
MD 20817-1235
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-02-06
Effective Date 2013-12-01
Expiration Date 2014-11-30
Refresh Date 2015-03-13

Office Location

Street Address 7501 DEMOCRACY BLVD APT B117
City BETHESDA
State MD
Zip Code 20817-1235

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City BETHESDA
Zip Code 20817
License Type Physical Therapist
License Type + County Physical Therapist + BETHESDA

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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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