CATHERINE A DERENZO
Physical Therapist


Address: 82 Rollingwood Drive, San Rafael, CA 94901

CATHERINE A DERENZO (Credential# 690424) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 27, 1993. The license expiration date date is September 30, 1994. The license status is INACTIVE.

Business Overview

CATHERINE A DERENZO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.004843. The credential type is physical therapist. The effective date is December 27, 1993. The expiration date is September 30, 1994. The business address is 82 Rollingwood Drive, San Rafael, CA 94901. The current status is inactive.

Basic Information

Licensee Name CATHERINE A DERENZO
Credential ID 690424
Credential Number 14.004843
Credential Type Physical Therapist
Business Address 82 Rollingwood Drive
San Rafael
CA 94901
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-12-23
Effective Date 1993-12-27
Expiration Date 1994-09-30
Refresh Date 2009-07-08

Office Location

Street Address 82 ROLLINGWOOD DRIVE
City SAN RAFAEL
State CA
Zip Code 94901

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Yves Fournier 2060 5th Ave, San Rafael, CA 94901 Massage Therapist 2004-06-14 ~ 2006-07-31
Rosemary Prunty 122 Greenwood Ave, San Rafael, CA 94901 Dental Hygienist 2002-01-18 ~ 2003-02-28
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Competitor

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City SAN RAFAEL
Zip Code 94901
License Type Physical Therapist
License Type + County Physical Therapist + SAN RAFAEL

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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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