MYRON W GOLDSTEIN
Physical Therapist


Address: P.o.box 89, Greenport, NY 11944

MYRON W GOLDSTEIN (Credential# 687801) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is May 4, 2004. The license expiration date date is January 31, 2005. The license status is INACTIVE.

Business Overview

MYRON W GOLDSTEIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.001108. The credential type is physical therapist. The effective date is May 4, 2004. The expiration date is January 31, 2005. The business address is P.o.box 89, Greenport, NY 11944. The current status is inactive.

Basic Information

Licensee Name MYRON W GOLDSTEIN
Credential ID 687801
Credential Number 14.001108
Credential Type Physical Therapist
Business Address P.o.box 89
Greenport
NY 11944
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1968-11-21
Effective Date 2004-05-04
Expiration Date 2005-01-31
Refresh Date 2009-07-08

Office Location

Street Address P.O.BOX 89
City GREENPORT
State NY
Zip Code 11944

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Competitor

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City GREENPORT
Zip Code 11944
License Type Physical Therapist
License Type + County Physical Therapist + GREENPORT

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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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