KIMBERLY K STAVROLAKES
Physical Therapist


Address: 64 Greenridge Ave, White Plains, NY 10605

KIMBERLY K STAVROLAKES (Credential# 690511) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is July 21, 1998. The license expiration date date is September 30, 1999. The license status is INACTIVE.

Business Overview

KIMBERLY K STAVROLAKES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.004930. The credential type is physical therapist. The effective date is July 21, 1998. The expiration date is September 30, 1999. The business address is 64 Greenridge Ave, White Plains, NY 10605. The current status is inactive.

Basic Information

Licensee Name KIMBERLY K STAVROLAKES
Credential ID 690511
Credential Number 14.004930
Credential Type Physical Therapist
Business Address 64 Greenridge Ave
White Plains
NY 10605
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-06-10
Effective Date 1998-07-21
Expiration Date 1999-09-30
Refresh Date 2009-07-08

Office Location

Street Address 64 GREENRIDGE AVE
City WHITE PLAINS
State NY
Zip Code 10605

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City WHITE PLAINS
Zip Code 10605
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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