AUDREY M WASIK
Physical Therapist


Address: 78 Nutmeg Drive, Somers, CT 06071

AUDREY M WASIK (Credential# 687556) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2011. The license expiration date date is January 31, 2012. The license status is INACTIVE.

Business Overview

AUDREY M WASIK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.000593. The credential type is physical therapist. The effective date is February 1, 2011. The expiration date is January 31, 2012. The business address is 78 Nutmeg Drive, Somers, CT 06071. The current status is inactive.

Basic Information

Licensee Name AUDREY M WASIK
Credential ID 687556
Credential Number 14.000593
Credential Type Physical Therapist
Business Address 78 Nutmeg Drive
Somers
CT 06071
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1959-02-19
Effective Date 2011-02-01
Expiration Date 2012-01-31
Refresh Date 2012-05-02

Office Location

Street Address 78 Nutmeg Drive
City Somers
State CT
Zip Code 06071

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Competitor

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City Somers
Zip Code 06071
License Type Physical Therapist
License Type + County Physical Therapist + Somers

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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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