PATRICIA L GREEN
Physical Therapist Assistant


Address: 10 Bonnieview Drive, East Granby, CT 06026

PATRICIA L GREEN (Credential# 786933) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 20, 2004. The license expiration date date is November 1, 2006. The license status is INACTIVE.

Business Overview

PATRICIA L GREEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000792. The credential type is physical therapist assistant. The effective date is May 20, 2004. The expiration date is November 1, 2006. The business address is 10 Bonnieview Drive, East Granby, CT 06026. The current status is inactive.

Basic Information

Licensee Name PATRICIA L GREEN
Credential ID 786933
Credential Number 63.000792
Credential Type Physical Therapist Assistant
Business Address 10 Bonnieview Drive
East Granby
CT 06026
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-03-22
Effective Date 2004-05-20
Expiration Date 2006-11-01
Refresh Date 2009-07-08

Office Location

Street Address 10 Bonnieview Drive
City East Granby
State CT
Zip Code 06026

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Competitor

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City East Granby
Zip Code 06026
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + East Granby

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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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