LAURA G LEISTRA
Physical Therapist


Address: 15 Cone Mountain Rd., West Granby, CT 06090

LAURA G LEISTRA (Credential# 689438) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is July 26, 2004. The license expiration date date is July 31, 2005. The license status is INACTIVE.

Business Overview

LAURA G LEISTRA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.003723. The credential type is physical therapist. The effective date is July 26, 2004. The expiration date is July 31, 2005. The business address is 15 Cone Mountain Rd., West Granby, CT 06090. The current status is inactive.

Basic Information

Licensee Name LAURA G LEISTRA
Credential ID 689438
Credential Number 14.003723
Credential Type Physical Therapist
Business Address 15 Cone Mountain Rd.
West Granby
CT 06090
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1987-07-15
Effective Date 2004-07-26
Expiration Date 2005-07-31
Refresh Date 2009-07-08

Office Location

Street Address 15 Cone Mountain Rd.
City West Granby
State CT
Zip Code 06090

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Competitor

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City West Granby
Zip Code 06090
License Type Physical Therapist
License Type + County Physical Therapist + West Granby

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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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