ADRIAN E MIRANDA
Physical Therapist


Address: 200 Blakeslee Street, Apt.266, Bristol, CT 06010

ADRIAN E MIRANDA (Credential# 693883) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2009. The license expiration date date is October 31, 2010. The license status is INACTIVE.

Business Overview

ADRIAN E MIRANDA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008308. The credential type is physical therapist. The effective date is November 1, 2009. The expiration date is October 31, 2010. The business address is 200 Blakeslee Street, Apt.266, Bristol, CT 06010. The current status is inactive.

Basic Information

Licensee Name ADRIAN E MIRANDA
Credential ID 693883
Credential Number 14.008308
Credential Type Physical Therapist
Business Address 200 Blakeslee Street, Apt.266
Bristol
CT 06010
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-04-15
Effective Date 2009-11-01
Expiration Date 2010-10-31
Refresh Date 2011-02-03

Office Location

Street Address 200 BLAKESLEE STREET, APT.266
City BRISTOL
State CT
Zip Code 06010

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Competitor

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City BRISTOL
Zip Code 06010
License Type Physical Therapist
License Type + County Physical Therapist + BRISTOL

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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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