LOU ANN JUNGBLUTH
Physical Therapist


Address: 54 Trevor Lake Dr, Congers, NY 10920

LOU ANN JUNGBLUTH (Credential# 689837) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 26, 1992. The license expiration date date is August 31, 1993. The license status is INACTIVE.

Business Overview

LOU ANN JUNGBLUTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.004227. The credential type is physical therapist. The effective date is August 26, 1992. The expiration date is August 31, 1993. The business address is 54 Trevor Lake Dr, Congers, NY 10920. The current status is inactive.

Basic Information

Licensee Name LOU ANN JUNGBLUTH
Credential ID 689837
Credential Number 14.004227
Credential Type Physical Therapist
Business Address 54 Trevor Lake Dr
Congers
NY 10920
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1990-03-13
Effective Date 1992-08-26
Expiration Date 1993-08-31
Refresh Date 2009-07-08

Office Location

Street Address 54 TREVOR LAKE DR
City CONGERS
State NY
Zip Code 10920

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Guillermo E Sanchez 210 S. Conger Ave, Congers, NY 10920 Registered Nurse 2020-05-01 ~ 2021-04-30
Arthur W Zoubek 230 Foltim Way, Congers, NY 10920 Respiratory Care Practitioner 2020-03-01 ~ 2021-02-28
Cynthia Poslusny Duggan 30 Von Beaste Ln, Congers, NY 10920 Professional Engineer 2020-02-01 ~ 2021-01-31
Mariakutty M George 134 New York Avenue, Congers, NY 10920 Registered Nurse 2018-10-01 ~ 2019-09-30
Vladimir Shabin 235 South Congers Ave, Congers, NY 10920 Professional Engineer 2020-02-01 ~ 2021-01-31
Paul J Shea 52 Ohio Avenue, Congers, NY 10920 Notary Public Appointment 2006-10-12 ~ 2011-10-31
Anthony Ferrante 17 Wells Avenue, Congers, NY 10920 Notary Public Appointment 2007-08-24 ~ 2012-08-31
Katherine A Mangan 25 North Conger Avenue, Congers, NY 10920 Registered Nurse 2020-02-01 ~ 2021-01-31
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City CONGERS
Zip Code 10920
License Type Physical Therapist
License Type + County Physical Therapist + CONGERS

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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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