DOMINIQUE E WYNN
BRAZAO


Address: 14a Taagan Point Rd, Danbury, CT 06811-3888

DOMINIQUE E WYNN (Credential# 693358) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2012. The license expiration date date is August 31, 2013. The license status is INACTIVE.

Business Overview

DOMINIQUE E WYNN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.007783. The credential type is physical therapist. The effective date is September 1, 2012. The expiration date is August 31, 2013. The business address is 14a Taagan Point Rd, Danbury, CT 06811-3888. The current status is inactive.

Basic Information

Licensee Name DOMINIQUE E WYNN
Doing Business As BRAZAO
Credential ID 693358
Credential Number 14.007783
Credential Type Physical Therapist
Business Address 14a Taagan Point Rd
Danbury
CT 06811-3888
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-09-21
Effective Date 2012-09-01
Expiration Date 2013-08-31
Refresh Date 2014-07-24

Office Location

Street Address 14A TAAGAN POINT RD
City DANBURY
State CT
Zip Code 06811-3888

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Competitor

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City DANBURY
Zip Code 06811
License Type Physical Therapist
License Type + County Physical Therapist + DANBURY

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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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