POONAM GUPTA
Physical Therapist


Address: 2417 Neil Armstrong Dr Apt 2d, West Lafayette, IN 47906-3862

POONAM GUPTA (Credential# 1423552) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.

Business Overview

POONAM GUPTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011546. The credential type is physical therapist. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 2417 Neil Armstrong Dr Apt 2d, West Lafayette, IN 47906-3862. The current status is active.

Basic Information

Licensee Name POONAM GUPTA
Credential ID 1423552
Credential Number 14.011546
Credential Type Physical Therapist
Business Address 2417 Neil Armstrong Dr Apt 2d
West Lafayette
IN 47906-3862
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-08-04
Effective Date 2020-01-01
Expiration Date 2020-12-31
Refresh Date 2020-04-01

Office Location

Street Address 2417 NEIL ARMSTRONG DR APT 2D
City WEST LAFAYETTE
State IN
Zip Code 47906-3862

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
William B Rettig 999 E 800 N, West Lafayette, IN 47906 Professional Engineer 2020-02-01 ~ 2021-01-31
Parsolex Gmp Center, Inc · The Chao Center for Industrial Pharmacy & Contract Manufacturintg (the Chao Center) 3070 Kent Ave, West Lafayette, IN 47906 Out of State Manufacturer of Drugs, Cosmetics & Medical Devices 2016-04-19 ~
Thomas G Westbrook 3319 Crawford St, West Lafayette, IN 47906 Professional Engineer 2011-02-01 ~ 2012-01-31
James M Barker 1308 Mcshay Ct, W Lafayette, IN 47906 Professional Engineer 2006-02-01 ~ 2007-01-31
Alain Desy Md 3604 Litchfield Lane, West Lafayette, IN 47906 Physician/surgeon 2010-08-01 ~ 2011-07-31
Jacqueline A Schuck 2550 Yeager Rd, West Lafayette, IN 47906 Registered Nurse 1995-03-21 ~ 1996-03-31
Wendy S Fogleman · Stone 52 T Rooper Ct, West Lafayette, IN 47906 Licensed Practical Nurse 2003-02-21 ~ 2004-02-29
Lesley A Hancock 830 Kent Avenue, W.lafayette, IN 47906 Emergency Medical Technician 2000-09-21 ~ 2001-04-01
Anne W Zahnke 3715 High Bank Pl, West Lafayette, IN 47906 Registered Nurse 1999-10-07 ~ 2000-12-31
Michael J Ringle 741 South River Road, West Lafayette, IN 47906 Veterinarian ~ 1995-01-31
Find all Licenses in zip 47906

Competitor

Search similar business entities

City WEST LAFAYETTE
Zip Code 47906
License Type Physical Therapist
License Type + County Physical Therapist + WEST LAFAYETTE

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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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