JAY GOODMAN
Physical Therapist


Address: 22 Custis Ave, White Plains, NY 10603

JAY GOODMAN (Credential# 689914) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 12, 1994. The license expiration date date is November 30, 1995. The license status is INACTIVE.

Business Overview

JAY GOODMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.004316. The credential type is physical therapist. The effective date is December 12, 1994. The expiration date is November 30, 1995. The business address is 22 Custis Ave, White Plains, NY 10603. The current status is inactive.

Basic Information

Licensee Name JAY GOODMAN
Credential ID 689914
Credential Number 14.004316
Credential Type Physical Therapist
Business Address 22 Custis Ave
White Plains
NY 10603
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1990-08-14
Effective Date 1994-12-12
Expiration Date 1995-11-30
Refresh Date 2009-07-08

Office Location

Street Address 22 CUSTIS AVE
City WHITE PLAINS
State NY
Zip Code 10603

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Competitor

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City WHITE PLAINS
Zip Code 10603
License Type Physical Therapist
License Type + County Physical Therapist + WHITE PLAINS

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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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