LAURA A RODRIGUEZ
Physical Therapist


Address: 5 Overhill Dr, Smithtown, NY 11787-1528

LAURA A RODRIGUEZ (Credential# 1211894) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is March 19, 2014. The license expiration date date is October 31, 2014. The license status is INACTIVE.

Business Overview

LAURA A RODRIGUEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.010079. The credential type is physical therapist. The effective date is March 19, 2014. The expiration date is October 31, 2014. The business address is 5 Overhill Dr, Smithtown, NY 11787-1528. The current status is inactive.

Basic Information

Licensee Name LAURA A RODRIGUEZ
Credential ID 1211894
Credential Number 14.010079
Credential Type Physical Therapist
Business Address 5 Overhill Dr
Smithtown
NY 11787-1528
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-03-19
Effective Date 2014-03-19
Expiration Date 2014-10-31
Refresh Date 2015-02-05

Office Location

Street Address 5 OVERHILL DR
City SMITHTOWN
State NY
Zip Code 11787-1528

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City SMITHTOWN
Zip Code 11787
License Type Physical Therapist
License Type + County Physical Therapist + SMITHTOWN

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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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