PAUL L BLANTON
Physical Therapist Assistant


Address: 60 Newhall Street, Springfield, MA 01109

PAUL L BLANTON (Credential# 786994) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2015. The license expiration date date is January 31, 2016. The license status is INACTIVE.

Business Overview

PAUL L BLANTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000853. The credential type is physical therapist assistant. The effective date is February 1, 2015. The expiration date is January 31, 2016. The business address is 60 Newhall Street, Springfield, MA 01109. The current status is inactive.

Basic Information

Licensee Name PAUL L BLANTON
Credential ID 786994
Credential Number 63.000853
Credential Type Physical Therapist Assistant
Business Address 60 Newhall Street
Springfield
MA 01109
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-05-03
Effective Date 2015-02-01
Expiration Date 2016-01-31
Refresh Date 2016-05-17

Office Location

Street Address 60 Newhall Street
City Springfield
State MA
Zip Code 01109

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City Springfield
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License Type + County Physical Therapist Assistant + Springfield

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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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