MATTHEW J KICZYINSKI
Physical Therapist


Address: 78 Alps Rd, Branford, CT 06405

MATTHEW J KICZYINSKI (Credential# 690008) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 22, 1996. The license expiration date date is January 31, 1998. The license status is INACTIVE.

Business Overview

MATTHEW J KICZYINSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.004419. The credential type is physical therapist. The effective date is November 22, 1996. The expiration date is January 31, 1998. The business address is 78 Alps Rd, Branford, CT 06405. The current status is inactive.

Basic Information

Licensee Name MATTHEW J KICZYINSKI
Credential ID 690008
Credential Number 14.004419
Credential Type Physical Therapist
Business Address 78 Alps Rd
Branford
CT 06405
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1991-08-08
Effective Date 1996-11-22
Expiration Date 1998-01-31
Refresh Date 2009-07-08

Office Location

Street Address 78 ALPS RD
City BRANFORD
State CT
Zip Code 06405

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City BRANFORD
Zip Code 06405
License Type Physical Therapist
License Type + County Physical Therapist + BRANFORD

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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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