ELIZABETH D FORSTROM
Physical Therapist


Address: 178 Chestnut Tree Hill Rd., Oxford, CT 06478

ELIZABETH D FORSTROM (Credential# 692070) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is April 7, 2000. The license expiration date date is April 30, 2001. The license status is INACTIVE.

Business Overview

ELIZABETH D FORSTROM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.006495. The credential type is physical therapist. The effective date is April 7, 2000. The expiration date is April 30, 2001. The business address is 178 Chestnut Tree Hill Rd., Oxford, CT 06478. The current status is inactive.

Basic Information

Licensee Name ELIZABETH D FORSTROM
Credential ID 692070
Credential Number 14.006495
Credential Type Physical Therapist
Business Address 178 Chestnut Tree Hill Rd.
Oxford
CT 06478
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-09-07
Effective Date 2000-04-07
Expiration Date 2001-04-30
Refresh Date 2009-07-08

Office Location

Street Address 178 Chestnut Tree Hill Rd.
City Oxford
State CT
Zip Code 06478

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Competitor

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City Oxford
Zip Code 06478
License Type Physical Therapist
License Type + County Physical Therapist + Oxford

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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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