IAN M AVENIA TAPPER
Physical Therapist


Address: 50 Evergreen St Apt 26, Jamaica Plain, MA 02130-1134

IAN M AVENIA TAPPER (Credential# 1193662) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 14, 2013. The license expiration date date is April 30, 2014. The license status is INACTIVE.

Business Overview

IAN M AVENIA TAPPER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009985. The credential type is physical therapist. The effective date is November 14, 2013. The expiration date is April 30, 2014. The business address is 50 Evergreen St Apt 26, Jamaica Plain, MA 02130-1134. The current status is inactive.

Basic Information

Licensee Name IAN M AVENIA TAPPER
Credential ID 1193662
Credential Number 14.009985
Credential Type Physical Therapist
Business Address 50 Evergreen St Apt 26
Jamaica Plain
MA 02130-1134
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-11-14
Effective Date 2013-11-14
Expiration Date 2014-04-30
Refresh Date 2014-08-07

Office Location

Street Address 50 EVERGREEN ST APT 26
City JAMAICA PLAIN
State MA
Zip Code 02130-1134

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City JAMAICA PLAIN
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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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