CHERYL A YOUNGBLOOD
Physical Therapist Assistant


Address: 142-27 Franklin Ave., Queens, NY 11355

CHERYL A YOUNGBLOOD (Credential# 786733) 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

CHERYL A YOUNGBLOOD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000592. 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 142-27 Franklin Ave., Queens, NY 11355. The current status is inactive.

Basic Information

Licensee Name CHERYL A YOUNGBLOOD
Credential ID 786733
Credential Number 63.000592
Credential Type Physical Therapist Assistant
Business Address 142-27 Franklin Ave.
Queens
NY 11355
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-04-01
Effective Date 2001-02-20
Expiration Date 2006-11-01
Refresh Date 2009-07-08

Office Location

Street Address 142-27 Franklin Ave.
City Queens
State NY
Zip Code 11355

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City Queens
Zip Code 11355
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + Queens

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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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