LAUREN M PETERS
Physical Therapist


Address: 52 Waterside Pkwy, Staten Island, NY 10308-3529

LAUREN M PETERS (Credential# 1323275) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2016. The license expiration date date is October 31, 2017. The license status is INACTIVE.

Business Overview

LAUREN M PETERS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.010791. The credential type is physical therapist. The effective date is November 1, 2016. The expiration date is October 31, 2017. The business address is 52 Waterside Pkwy, Staten Island, NY 10308-3529. The current status is inactive.

Basic Information

Licensee Name LAUREN M PETERS
Credential ID 1323275
Credential Number 14.010791
Credential Type Physical Therapist
Business Address 52 Waterside Pkwy
Staten Island
NY 10308-3529
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2016-02-03
Effective Date 2016-11-01
Expiration Date 2017-10-31
Refresh Date 2018-02-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1325940 14.010761-TEMP PT Temporary Permit 2015-12-21 2015-12-21 - 2016-02-03 INACTIVE

Office Location

Street Address 52 WATERSIDE PKWY
City STATEN ISLAND
State NY
Zip Code 10308-3529

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Competitor

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City STATEN ISLAND
Zip Code 10308
License Type Physical Therapist
License Type + County Physical Therapist + STATEN ISLAND

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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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