MARIE F CIVELLO
Physical Therapist


Address: 161 Endicott Street, Boston, MA 02113

MARIE F CIVELLO (Credential# 692011) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is April 30, 2001. The license expiration date date is April 30, 2002. The license status is INACTIVE.

Business Overview

MARIE F CIVELLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.006436. The credential type is physical therapist. The effective date is April 30, 2001. The expiration date is April 30, 2002. The business address is 161 Endicott Street, Boston, MA 02113. The current status is inactive.

Basic Information

Licensee Name MARIE F CIVELLO
Credential ID 692011
Credential Number 14.006436
Credential Type Physical Therapist
Business Address 161 Endicott Street
Boston
MA 02113
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-06-18
Effective Date 2001-04-30
Expiration Date 2002-04-30
Refresh Date 2009-07-08

Office Location

Street Address 161 Endicott Street
City Boston
State MA
Zip Code 02113

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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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