JOHANNA CARRASCO
Physical Therapist Assistant


Address: 43 West St Apt B, New London, CT 06320-5351

JOHANNA CARRASCO (Credential# 1374783) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2017. The license expiration date date is July 31, 2018. The license status is INACTIVE.

Business Overview

JOHANNA CARRASCO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001747. The credential type is physical therapist assistant. The effective date is August 1, 2017. The expiration date is July 31, 2018. The business address is 43 West St Apt B, New London, CT 06320-5351. The current status is inactive.

Basic Information

Licensee Name JOHANNA CARRASCO
Credential ID 1374783
Credential Number 63.001747
Credential Type Physical Therapist Assistant
Business Address 43 West St Apt B
New London
CT 06320-5351
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2016-09-19
Effective Date 2017-08-01
Expiration Date 2018-07-31
Refresh Date 2018-11-03

Office Location

Street Address 43 WEST ST APT B
City NEW LONDON
State CT
Zip Code 06320-5351

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Competitor

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City NEW LONDON
Zip Code 06320
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + NEW LONDON

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One A Any 123, Avon, CT 06001 Physical Therapist Assistant 2001-01-31 ~ 2002-01-01
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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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