JACLYN E KORNEGAY
Physical Therapist


Address: 54 Ronald Road, Groton, CT 06340

JACLYN E KORNEGAY (Credential# 692942) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

JACLYN E KORNEGAY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.007367. The credential type is physical therapist. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 54 Ronald Road, Groton, CT 06340. The current status is active.

Basic Information

Licensee Name JACLYN E KORNEGAY
Credential ID 692942
Credential Number 14.007367
Credential Type Physical Therapist
Business Address 54 Ronald Road
Groton
CT 06340
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2003-07-23
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-04-01

Office Location

Street Address 54 Ronald Road
City Groton
State CT
Zip Code 06340

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Kathlene M Hunt 75 Pleasant Street, Groton, CT 06340 Notary Public Appointment 2020-10-01 ~ 2025-09-30
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Competitor

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City Groton
Zip Code 06340
License Type Physical Therapist
License Type + County Physical Therapist + Groton

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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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