SONDRA G STOLLAK
Physical Therapist


Address: 2 Talcott Forest Rd, Farmington, CT 06032-3591

SONDRA G STOLLAK (Credential# 690416) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is April 8, 2003. The license expiration date date is April 30, 2004. The license status is INACTIVE.

Business Overview

SONDRA G STOLLAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.004835. The credential type is physical therapist. The effective date is April 8, 2003. The expiration date is April 30, 2004. The business address is 2 Talcott Forest Rd, Farmington, CT 06032-3591. The current status is inactive.

Basic Information

Licensee Name SONDRA G STOLLAK
Credential ID 690416
Credential Number 14.004835
Credential Type Physical Therapist
Business Address 2 Talcott Forest Rd
Farmington
CT 06032-3591
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-12-10
Effective Date 2003-04-08
Expiration Date 2004-04-30
Refresh Date 2009-07-08

Office Location

Street Address 2 TALCOTT FOREST RD
City FARMINGTON
State CT
Zip Code 06032-3591

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Satoko Matsumura 2 Talcott Forest Rd Apt L, Farmington, CT 06032-3591 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Paul J Gifford 2 Talcott Forest Rd Apt J, Farmington, CT 06032-3591 Emergency Medical Technician 2014-10-17 ~ 2018-07-01
Maria S Bordo-gargurevich 2 Talcott Forest Rd Apt L, Farmington, CT 06032-3591 Real Estate Salesperson ~

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Competitor

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City FARMINGTON
Zip Code 06032
License Type Physical Therapist
License Type + County Physical Therapist + FARMINGTON

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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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