LORD CHRISTOPHER LARCENA
Physical Therapist


Address: 602 S Belmont St Apt 206, Glendale, CA 91205-4235

LORD CHRISTOPHER LARCENA (Credential# 1400104) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2018. The license expiration date date is March 31, 2019. The license status is INACTIVE.

Business Overview

LORD CHRISTOPHER LARCENA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011293. The credential type is physical therapist. The effective date is April 1, 2018. The expiration date is March 31, 2019. The business address is 602 S Belmont St Apt 206, Glendale, CA 91205-4235. The current status is inactive.

Basic Information

Licensee Name LORD CHRISTOPHER LARCENA
Credential ID 1400104
Credential Number 14.011293
Credential Type Physical Therapist
Business Address 602 S Belmont St Apt 206
Glendale
CA 91205-4235
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2017-02-07
Effective Date 2018-04-01
Expiration Date 2019-03-31
Refresh Date 2019-07-04

Office Location

Street Address 602 S BELMONT ST APT 206
City GLENDALE
State CA
Zip Code 91205-4235

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City GLENDALE
Zip Code 91205
License Type Physical Therapist
License Type + County Physical Therapist + GLENDALE

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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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