KELLY A WILK
Physical Therapist


Address: 197 Seaside Ave #3, Stamford, CT 06902

KELLY A WILK (Credential# 690977) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is January 29, 1997. The license expiration date date is January 31, 1998. The license status is INACTIVE.

Business Overview

KELLY A WILK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005398. The credential type is physical therapist. The effective date is January 29, 1997. The expiration date is January 31, 1998. The business address is 197 Seaside Ave #3, Stamford, CT 06902. The current status is inactive.

Basic Information

Licensee Name KELLY A WILK
Credential ID 690977
Credential Number 14.005398
Credential Type Physical Therapist
Business Address 197 Seaside Ave #3
Stamford
CT 06902
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-12-15
Effective Date 1997-01-29
Expiration Date 1998-01-31
Refresh Date 2009-07-08

Office Location

Street Address 197 SEASIDE AVE #3
City STAMFORD
State CT
Zip Code 06902

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Andrea Bynoe 34 Melrose Pl, Stamford, CT 06902 Notary Public Appointment 1994-04-06 ~ 1999-04-30
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Competitor

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City STAMFORD
Zip Code 06902
License Type Physical Therapist
License Type + County Physical Therapist + STAMFORD

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Kelly M Tesiero 15 Adams Ave, Rensselaer, NY 12144 Physical Therapist 1993-02-25 ~ 1994-01-31
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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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