ROBERTA L REISDORF
Physical Therapist


Address: 714 E. Kaliste Saloon Road, Lafayette, LA 70508

ROBERTA L REISDORF (Credential# 691392) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license expiration date date is March 31, 1998. The license status is INACTIVE.

Business Overview

ROBERTA L REISDORF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.005816. The credential type is physical therapist. The expiration date is March 31, 1998. The business address is 714 E. Kaliste Saloon Road, Lafayette, LA 70508. The current status is inactive.

Basic Information

Licensee Name ROBERTA L REISDORF
Credential ID 691392
Credential Number 14.005816
Credential Type Physical Therapist
Business Address 714 E. Kaliste Saloon Road
Lafayette
LA 70508
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-05-23
Expiration Date 1998-03-31
Refresh Date 2009-07-08

Office Location

Street Address 714 E. Kaliste Saloon Road
City Lafayette
State LA
Zip Code 70508

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Dianne E Breedlove 131 Vivian Drive, Lafayette, LA 70508 Speech and Language Pathologist ~ 1997-02-28
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Competitor

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City Lafayette
Zip Code 70508
License Type Physical Therapist
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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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