JESSICA B SHAW
Physical Therapist


Address: 202 Kings Hwy, Fairfield, CT 06825

JESSICA B SHAW (Credential# 692584) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2018. The license expiration date date is March 31, 2019. The license status is INACTIVE.

Business Overview

JESSICA B SHAW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.007009. The credential type is physical therapist. The effective date is April 1, 2018. The expiration date is March 31, 2019. The business address is 202 Kings Hwy, Fairfield, CT 06825. The current status is inactive.

Basic Information

Licensee Name JESSICA B SHAW
Credential ID 692584
Credential Number 14.007009
Credential Type Physical Therapist
Business Address 202 Kings Hwy
Fairfield
CT 06825
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-10-19
Effective Date 2018-04-01
Expiration Date 2019-03-31
Refresh Date 2019-07-04

Office Location

Street Address 202 KINGS HWY
City Fairfield
State CT
Zip Code 06825

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Competitor

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City Fairfield
Zip Code 06825
License Type Physical Therapist
License Type + County Physical Therapist + Fairfield

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Joyce A Shaw 26 Bear Paw Rd, Trumbull, CT 06611 Physical Therapist 1993-05-25 ~ 1994-06-30
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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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