MICHAEL R SACCONE JR
Physical Therapist


Address: 173 Russo Ave 404, East Haven, CT 06512

MICHAEL R SACCONE JR (Credential# 690751) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is April 11, 2000. The license expiration date date is April 30, 2001. The license status is INACTIVE.

Business Overview

MICHAEL R SACCONE JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005170. The credential type is physical therapist. The effective date is April 11, 2000. The expiration date is April 30, 2001. The business address is 173 Russo Ave 404, East Haven, CT 06512. The current status is inactive.

Basic Information

Licensee Name MICHAEL R SACCONE JR
Credential ID 690751
Credential Number 14.005170
Credential Type Physical Therapist
Business Address 173 Russo Ave 404
East Haven
CT 06512
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-06-16
Effective Date 2000-04-11
Expiration Date 2001-04-30
Refresh Date 2009-07-08

Office Location

Street Address 173 RUSSO AVE 404
City EAST HAVEN
State CT
Zip Code 06512

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Alyssa C Zordan 65 Francis Street, East Haven, CT 06512 Registered Nurse 2020-09-01 ~ 2021-08-31
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Competitor

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City EAST HAVEN
Zip Code 06512
License Type Physical Therapist
License Type + County Physical Therapist + EAST HAVEN

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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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