LAURA K BIRNBAUM
Physical Therapist


Address: 9 Bushnell Ln, Madison, CT 06443-3151

LAURA K BIRNBAUM (Credential# 1426241) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 7, 2017. The license expiration date date is May 31, 2018. The license status is INACTIVE.

Business Overview

LAURA K BIRNBAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011557. The credential type is physical therapist. The effective date is August 7, 2017. The expiration date is May 31, 2018. The business address is 9 Bushnell Ln, Madison, CT 06443-3151. The current status is inactive.

Basic Information

Licensee Name LAURA K BIRNBAUM
Credential ID 1426241
Credential Number 14.011557
Credential Type Physical Therapist
Business Address 9 Bushnell Ln
Madison
CT 06443-3151
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2017-08-07
Effective Date 2017-08-07
Expiration Date 2018-05-31
Refresh Date 2018-09-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1429063 14.011391-TEMP PT Temporary Permit 2017-06-05 2017-06-05 - 2017-10-02 INACTIVE

Office Location

Street Address 9 BUSHNELL LN
City MADISON
State CT
Zip Code 06443-3151

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Alice R Trautman 33 Bushnell Ln, Madison, CT 06443-3151 Real Estate Salesperson 2020-06-01 ~ 2021-05-31

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Competitor

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City MADISON
Zip Code 06443
License Type Physical Therapist
License Type + County Physical Therapist + MADISON

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Laura O Carson 29b Old Amherst Rd, Belchertown, MA 01007 Physical Therapist 1999-05-03 ~ 2000-04-30
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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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