LILITH E CHUNG
Physical Therapist


Address: 188 Bouton St, South Norwalk, CT 06854

LILITH E CHUNG (Credential# 690450) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is September 4, 2001. The license expiration date date is September 30, 2002. The license status is INACTIVE.

Business Overview

LILITH E CHUNG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.004869. The credential type is physical therapist. The effective date is September 4, 2001. The expiration date is September 30, 2002. The business address is 188 Bouton St, South Norwalk, CT 06854. The current status is inactive.

Basic Information

Licensee Name LILITH E CHUNG
Credential ID 690450
Credential Number 14.004869
Credential Type Physical Therapist
Business Address 188 Bouton St
South Norwalk
CT 06854
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-12-23
Effective Date 2001-09-04
Expiration Date 2002-09-30
Refresh Date 2009-07-08

Office Location

Street Address 188 BOUTON ST
City SOUTH NORWALK
State CT
Zip Code 06854

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City SOUTH NORWALK
Zip Code 06854
License Type Physical Therapist
License Type + County Physical Therapist + SOUTH NORWALK

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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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