TIFFANY E ANTOS
Physical Therapist


Address: 14 Lower Devon Road, Port Jefferson, NY 11777

TIFFANY E ANTOS (Credential# 690734) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license expiration date date is October 31, 1995. The license status is INACTIVE.

Business Overview

TIFFANY E ANTOS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005153. The credential type is physical therapist. The expiration date is October 31, 1995. The business address is 14 Lower Devon Road, Port Jefferson, NY 11777. The current status is inactive.

Basic Information

Licensee Name TIFFANY E ANTOS
Credential ID 690734
Credential Number 14.005153
Credential Type Physical Therapist
Business Address 14 Lower Devon Road
Port Jefferson
NY 11777
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-05-26
Expiration Date 1995-10-31
Refresh Date 2009-07-08

Office Location

Street Address 14 LOWER DEVON ROAD
City PORT JEFFERSON
State NY
Zip Code 11777

Licenses in the same zip code

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Cecilia Avila 111 Jones Ave., Port Jefferson, NY 11777 Physician/surgeon 2020-06-01 ~ 2021-05-31
Yu Kan Au 23 Texaco Ave, Port Jefferson, NY 11777 Physician/surgeon 2020-06-01 ~ 2021-05-31
James R Grundhoffer 108 Dogwood Road, Port Jefferson, NY 11777 Professional Engineer 2020-02-01 ~ 2021-01-31
Steve M Nenninger 109 Randall Ave, Port Jefferson, NY 11777 Naturopathic Physician 2019-12-01 ~ 2020-11-30
Matthew Bardram · Jason Witover/prof Chimney Company 101 Peninsula Drive, Port Jefferson, NY 11777 Home Improvement Salesperson 1998-12-24 ~ 1999-11-30
Craig H Rosenberg 112 Cliff Road, Port Jefferson, NY 11777 Physician/surgeon 2016-08-01 ~ 2017-07-31
Christopher C Voorhis 17 Buena Vista Rd, Port Jefferson, NY 11777 Engineer-in-training 2006-03-16 ~ 2016-03-16
Howard L Elman 31 Old Post Rd, Jefferson, NY 11777 Professional Engineer 1989-02-21 ~ 1990-01-31
John A Grillo 1213 Main Street, Pt Jefferson, NY 11777 Architect 2012-08-01 ~ 2013-07-31
Saverio Governale 17 Baylis Ave, Port Jefferson, NY 11777 Electrical Unlimited Contractor ~
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Competitor

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City PORT JEFFERSON
Zip Code 11777
License Type Physical Therapist
License Type + County Physical Therapist + PORT JEFFERSON

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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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