MATTHEW P FORD
Physical Therapist


Address: 84 Evelyn Drive, Middlebury, CT 06762

MATTHEW P FORD (Credential# 690400) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 1993. The license expiration date date is September 30, 1994. The license status is INACTIVE.

Business Overview

MATTHEW P FORD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.004819. The credential type is physical therapist. The effective date is December 1, 1993. The expiration date is September 30, 1994. The business address is 84 Evelyn Drive, Middlebury, CT 06762. The current status is inactive.

Basic Information

Licensee Name MATTHEW P FORD
Credential ID 690400
Credential Number 14.004819
Credential Type Physical Therapist
Business Address 84 Evelyn Drive
Middlebury
CT 06762
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-11-04
Effective Date 1993-12-01
Expiration Date 1994-09-30
Refresh Date 2009-07-08

Office Location

Street Address 84 EVELYN DRIVE
City MIDDLEBURY
State CT
Zip Code 06762

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Competitor

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City MIDDLEBURY
Zip Code 06762
License Type Physical Therapist
License Type + County Physical Therapist + MIDDLEBURY

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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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