KEVIN A CARBONE
Physical Therapist


Address: 91 Larchmont St, Springfield, MA 01109-1800

KEVIN A CARBONE (Credential# 693781) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is July 3, 2017. The license expiration date date is July 31, 2018. The license status is INACTIVE.

Business Overview

KEVIN A CARBONE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008206. The credential type is physical therapist. The effective date is July 3, 2017. The expiration date is July 31, 2018. The business address is 91 Larchmont St, Springfield, MA 01109-1800. The current status is inactive.

Basic Information

Licensee Name KEVIN A CARBONE
Credential ID 693781
Credential Number 14.008206
Credential Type Physical Therapist
Business Address 91 Larchmont St
Springfield
MA 01109-1800
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL; PRIOR DISCIPLINE
Issue Date 2007-10-22
Effective Date 2017-07-03
Expiration Date 2018-07-31
Refresh Date 2019-04-26

Office Location

Street Address 91 LARCHMONT ST
City SPRINGFIELD
State MA
Zip Code 01109-1800

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Competitor

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City SPRINGFIELD
Zip Code 01109
License Type Physical Therapist
License Type + County Physical Therapist + SPRINGFIELD

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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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