ELIZABETH M BODNER
Physical Therapist


Address: 112 Beechwood Drive, Madison, CT 06443

ELIZABETH M BODNER (Credential# 692762) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.

Business Overview

ELIZABETH M BODNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.007187. The credential type is physical therapist. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 112 Beechwood Drive, Madison, CT 06443. The current status is active.

Basic Information

Licensee Name ELIZABETH M BODNER
Credential ID 692762
Credential Number 14.007187
Credential Type Physical Therapist
Business Address 112 Beechwood Drive
Madison
CT 06443
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2002-08-27
Effective Date 2020-02-01
Expiration Date 2021-01-31
Refresh Date 2020-02-05

Other licenses

ID Credential Code Credential Type Issue Term Status
147306 PTN.0000525 PHARMACY TECHNICIAN 2004-04-01 - 2005-03-31 INACTIVE

Office Location

Street Address 112 Beechwood Drive
City Madison
State CT
Zip Code 06443

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Competitor

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City Madison
Zip Code 06443
License Type Physical Therapist
License Type + County Physical Therapist + Madison

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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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