MICHELLE N HENAULT
Physical Therapist


Address: 25 Lincoln Street, Medway, MA 02053

MICHELLE N HENAULT (Credential# 1420108) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2017. The license expiration date date is November 30, 2018. The license status is INACTIVE.

Business Overview

MICHELLE N HENAULT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011568. The credential type is physical therapist. The effective date is December 1, 2017. The expiration date is November 30, 2018. The business address is 25 Lincoln Street, Medway, MA 02053. The current status is inactive.

Basic Information

Licensee Name MICHELLE N HENAULT
Credential ID 1420108
Credential Number 14.011568
Credential Type Physical Therapist
Business Address 25 Lincoln Street
Medway
MA 02053
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2017-08-14
Effective Date 2017-12-01
Expiration Date 2018-11-30
Refresh Date 2019-03-05

Office Location

Street Address 25 Lincoln Street
City Medway
State MA
Zip Code 02053

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Competitor

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City Medway
Zip Code 02053
License Type Physical Therapist
License Type + County Physical Therapist + Medway

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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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