SANDRA SHUPP
Physical Therapist Assistant


Address: 66 Cedar St., Newington, CT 06111

SANDRA SHUPP (Credential# 786659) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 20, 2001. The license expiration date date is November 1, 2006. The license status is INACTIVE.

Business Overview

SANDRA SHUPP is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000518. The credential type is physical therapist assistant. The effective date is February 20, 2001. The expiration date is November 1, 2006. The business address is 66 Cedar St., Newington, CT 06111. The current status is inactive.

Basic Information

Licensee Name SANDRA SHUPP
Credential ID 786659
Credential Number 63.000518
Credential Type Physical Therapist Assistant
Business Address 66 Cedar St.
Newington
CT 06111
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-11-28
Effective Date 2001-02-20
Expiration Date 2006-11-01
Refresh Date 2009-07-08

Office Location

Street Address 66 Cedar St.
City Newington
State CT
Zip Code 06111

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City Newington
Zip Code 06111
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + Newington

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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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