SAMANTHA A VAN ZYL
Physical Therapist


Address: 8 Umgeni Rd - River Club, 2191

SAMANTHA A VAN ZYL (Credential# 691333) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2017. The license expiration date date is April 30, 2018. The license status is INACTIVE.

Business Overview

SAMANTHA A VAN ZYL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005757. The credential type is physical therapist. The effective date is May 1, 2017. The expiration date is April 30, 2018. The business address is 8 Umgeni Rd - River Club, 2191. The current status is inactive.

Basic Information

Licensee Name SAMANTHA A VAN ZYL
Credential ID 691333
Credential Number 14.005757
Credential Type Physical Therapist
Business Address 8 Umgeni Rd - River Club
2191
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-03-21
Effective Date 2017-05-01
Expiration Date 2018-04-30
Refresh Date 2018-08-03

Office Location

Street Address 8 UMGENI RD - RIVER CLUB
Zip Code 2191

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Zip Code 2191
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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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