DEXTER P VIDENA
Physical Therapist


Address: 3264 Kaiser Drive, Ellicott City, MD 21043

DEXTER P VIDENA (Credential# 694029) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2010. The license expiration date date is August 31, 2011. The license status is INACTIVE.

Business Overview

DEXTER P VIDENA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008454. The credential type is physical therapist. The effective date is September 1, 2010. The expiration date is August 31, 2011. The business address is 3264 Kaiser Drive, Ellicott City, MD 21043. The current status is inactive.

Basic Information

Licensee Name DEXTER P VIDENA
Credential ID 694029
Credential Number 14.008454
Credential Type Physical Therapist
Business Address 3264 Kaiser Drive
Ellicott City
MD 21043
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-12-15
Effective Date 2010-09-01
Expiration Date 2011-08-31
Refresh Date 2011-12-02

Office Location

Street Address 3264 Kaiser Drive
City Ellicott City
State MD
Zip Code 21043

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Joseph V Barrera 3264 Kaiser Drive, Ellicott City, MD 21043 Physical Therapist 2009-01-23 ~ 2009-12-31

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Atesha N Woods 4930 Walking Stick Road, Ellicott City, MD 21043 Licensed Clinical Social Worker 2020-04-01 ~ 2021-03-31
Humphrey K Kariuki 4129 Brittany Dr, Ellicott City, MD 21043 Professional Engineer 2019-02-01 ~ 2020-01-31
Margaret S Sheehan 5395 Dunteachin Dr, Ellicott City, MD 21043 Professional Engineer 2019-02-01 ~ 2020-01-31
Sadi H Wadi 8608 Golden Grain Ct, Ellicott City, MD 21043 Professional Engineer 2020-02-01 ~ 2021-01-31
Robert C Smith 3607 Old Manse Ct, Ellicott City, MD 21043 Professional Engineer 2014-02-01 ~ 2015-01-31
Shazia Ali 8402 Timberland Circle, Ellicott City, MD 21043 Pharmacist 2020-02-01 ~ 2022-01-31
Amanda R Square 2501 Valley View Way, Ellicott City, MD 21043 Physician/surgeon 2020-03-01 ~ 2021-02-28
Zbigniew Golonka 8764 Stonehouse Dr., Ellicott City, MD 21043 Psychologist 2020-01-01 ~ 2020-12-31
Find all Licenses in zip 21043

Competitor

Search similar business entities

City Ellicott City
Zip Code 21043
License Type Physical Therapist
License Type + County Physical Therapist + Ellicott City

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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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