MICHAEL J AGEN
Physical Therapist


Address: 28 Strawberry Ln, Middlefield, CT 06455

MICHAEL J AGEN (Credential# 690925) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is February 15, 2000. The license expiration date date is April 30, 2001. The license status is INACTIVE.

Business Overview

MICHAEL J AGEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005346. The credential type is physical therapist. The effective date is February 15, 2000. The expiration date is April 30, 2001. The business address is 28 Strawberry Ln, Middlefield, CT 06455. The current status is inactive.

Basic Information

Licensee Name MICHAEL J AGEN
Credential ID 690925
Credential Number 14.005346
Credential Type Physical Therapist
Business Address 28 Strawberry Ln
Middlefield
CT 06455
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-10-27
Effective Date 2000-02-15
Expiration Date 2001-04-30
Refresh Date 2009-07-08

Office Location

Street Address 28 STRAWBERRY LN
City MIDDLEFIELD
State CT
Zip Code 06455

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Competitor

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City MIDDLEFIELD
Zip Code 06455
License Type Physical Therapist
License Type + County Physical Therapist + MIDDLEFIELD

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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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