STACEY A KINSEY
Physical Therapist


Address: 523 Old Woodbury Rd, Southbury, CT 06488

STACEY A KINSEY (Credential# 691758) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 5, 2003. The license expiration date date is January 31, 2005. The license status is INACTIVE.

Business Overview

STACEY A KINSEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.006182. The credential type is physical therapist. The effective date is December 5, 2003. The expiration date is January 31, 2005. The business address is 523 Old Woodbury Rd, Southbury, CT 06488. The current status is inactive.

Basic Information

Licensee Name STACEY A KINSEY
Credential ID 691758
Credential Number 14.006182
Credential Type Physical Therapist
Business Address 523 Old Woodbury Rd
Southbury
CT 06488
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-06-26
Effective Date 2003-12-05
Expiration Date 2005-01-31
Refresh Date 2009-07-08

Office Location

Street Address 523 OLD WOODBURY RD
City SOUTHBURY
State CT
Zip Code 06488

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Competitor

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City SOUTHBURY
Zip Code 06488
License Type Physical Therapist
License Type + County Physical Therapist + SOUTHBURY

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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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