ALICE L WIDEN
Physical Therapist


Address: 500 Bedford St Apt 308, Stamford, CT 06901-1509

ALICE L WIDEN (Credential# 687626) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is November 20, 2015. The license status is INACTIVE.

Business Overview

ALICE L WIDEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.000753. The credential type is physical therapist. The effective date is March 1, 2015. The expiration date is November 20, 2015. The business address is 500 Bedford St Apt 308, Stamford, CT 06901-1509. The current status is inactive.

Basic Information

Licensee Name ALICE L WIDEN
Credential ID 687626
Credential Number 14.000753
Credential Type Physical Therapist
Business Address 500 Bedford St Apt 308
Stamford
CT 06901-1509
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1963-04-25
Effective Date 2015-03-01
Expiration Date 2015-11-20
Refresh Date 2015-12-22

Office Location

Street Address 500 BEDFORD ST APT 308
City STAMFORD
State CT
Zip Code 06901-1509

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Competitor

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City STAMFORD
Zip Code 06901
License Type Physical Therapist
License Type + County Physical Therapist + STAMFORD

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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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