ANDRILU C TANJUAQUIO
Physical Therapist


Address: 1400 Lake Washington Blvd N Apt C107, Renton, WA 98056-6450

ANDRILU C TANJUAQUIO (Credential# 693911) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2010. The license expiration date date is October 31, 2011. The license status is INACTIVE.

Business Overview

ANDRILU C TANJUAQUIO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008336. The credential type is physical therapist. The effective date is November 1, 2010. The expiration date is October 31, 2011. The business address is 1400 Lake Washington Blvd N Apt C107, Renton, WA 98056-6450. The current status is inactive.

Basic Information

Licensee Name ANDRILU C TANJUAQUIO
Credential ID 693911
Credential Number 14.008336
Credential Type Physical Therapist
Business Address 1400 Lake Washington Blvd N Apt C107
Renton
WA 98056-6450
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-06-13
Effective Date 2010-11-01
Expiration Date 2011-10-31
Refresh Date 2012-02-08

Office Location

Street Address 1400 LAKE WASHINGTON BLVD N APT C107
City RENTON
State WA
Zip Code 98056-6450

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Competitor

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City RENTON
Zip Code 98056
License Type Physical Therapist
License Type + County Physical Therapist + RENTON

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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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