KEITH FUNG
Physical Therapist


Address: 20 Confucius Plaza, New York, NY 10002

KEITH FUNG (Credential# 691084) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2012. The license expiration date date is October 31, 2013. The license status is INACTIVE.

Business Overview

KEITH FUNG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005507. The credential type is physical therapist. The effective date is November 1, 2012. The expiration date is October 31, 2013. The business address is 20 Confucius Plaza, New York, NY 10002. The current status is inactive.

Basic Information

Licensee Name KEITH FUNG
Credential ID 691084
Credential Number 14.005507
Credential Type Physical Therapist
Business Address 20 Confucius Plaza
New York
NY 10002
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-06-14
Effective Date 2012-11-01
Expiration Date 2013-10-31
Refresh Date 2014-02-21

Office Location

Street Address 20 CONFUCIUS PLAZA
City NEW YORK
State NY
Zip Code 10002

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Competitor

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City NEW YORK
Zip Code 10002
License Type Physical Therapist
License Type + County Physical Therapist + NEW YORK

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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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