KELLY M BANGSTED
Physical Therapist


Address: 15 Lawton Street, Brooklyn, NY 11221

KELLY M BANGSTED (Credential# 693672) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2009. The license expiration date date is April 30, 2010. The license status is INACTIVE.

Business Overview

KELLY M BANGSTED is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008097. The credential type is physical therapist. The effective date is May 1, 2009. The expiration date is April 30, 2010. The business address is 15 Lawton Street, Brooklyn, NY 11221. The current status is inactive.

Basic Information

Licensee Name KELLY M BANGSTED
Credential ID 693672
Credential Number 14.008097
Credential Type Physical Therapist
Business Address 15 Lawton Street
Brooklyn
NY 11221
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-05-08
Effective Date 2009-05-01
Expiration Date 2010-04-30
Refresh Date 2010-08-02

Office Location

Street Address 15 Lawton Street
City Brooklyn
State NY
Zip Code 11221

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City Brooklyn
Zip Code 11221
License Type Physical Therapist
License Type + County Physical Therapist + Brooklyn

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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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