MARISA ELIZABETH HENTIS
Physical Therapist


Address: 402 Commercial St Apt 3, Boston, MA 02109-1053

MARISA ELIZABETH HENTIS (Credential# 1470762) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 24, 2018. The license expiration date date is July 31, 2019. The license status is INACTIVE.

Business Overview

MARISA ELIZABETH HENTIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.012008. The credential type is physical therapist. The effective date is August 24, 2018. The expiration date is July 31, 2019. The business address is 402 Commercial St Apt 3, Boston, MA 02109-1053. The current status is inactive.

Basic Information

Licensee Name MARISA ELIZABETH HENTIS
Credential ID 1470762
Credential Number 14.012008
Credential Type Physical Therapist
Business Address 402 Commercial St Apt 3
Boston
MA 02109-1053
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2018-08-24
Effective Date 2018-08-24
Expiration Date 2019-07-31
Refresh Date 2019-11-03

Office Location

Street Address 402 COMMERCIAL ST APT 3
City BOSTON
State MA
Zip Code 02109-1053

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City BOSTON
Zip Code 02109
License Type Physical Therapist
License Type + County Physical Therapist + BOSTON

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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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