AMY L KIZZIAR
Physical Therapist


Address: 277 Leming Lane, Malvern, AR 72104

AMY L KIZZIAR (Credential# 694102) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is May 26, 2009. The license expiration date date is May 31, 2010. The license status is INACTIVE.

Business Overview

AMY L KIZZIAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008527. The credential type is physical therapist. The effective date is May 26, 2009. The expiration date is May 31, 2010. The business address is 277 Leming Lane, Malvern, AR 72104. The current status is inactive.

Basic Information

Licensee Name AMY L KIZZIAR
Credential ID 694102
Credential Number 14.008527
Credential Type Physical Therapist
Business Address 277 Leming Lane
Malvern
AR 72104
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-04-20
Effective Date 2009-05-26
Expiration Date 2010-05-31
Refresh Date 2010-09-01

Office Location

Street Address 277 Leming Lane
City Malvern
State AR
Zip Code 72104

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City Malvern
Zip Code 72104
License Type Physical Therapist
License Type + County Physical Therapist + Malvern

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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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