DAVID A KOWALCZIK
Physical Therapist Assistant


Address: 27 Elm St., Whitesboro, NY 13492

DAVID A KOWALCZIK (Credential# 786430) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license expiration date date is November 1, 2006. The license status is INACTIVE.

Business Overview

DAVID A KOWALCZIK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000288. The credential type is physical therapist assistant. The expiration date is November 1, 2006. The business address is 27 Elm St., Whitesboro, NY 13492. The current status is inactive.

Basic Information

Licensee Name DAVID A KOWALCZIK
Credential ID 786430
Credential Number 63.000288
Credential Type Physical Therapist Assistant
Business Address 27 Elm St.
Whitesboro
NY 13492
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-03-13
Expiration Date 2006-11-01
Refresh Date 2009-07-08

Office Location

Street Address 27 Elm St.
City Whitesboro
State NY
Zip Code 13492

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Sean M Wuest 29 Abbey Rd, Whitesboro, NY 13492 Pharmacy Intern 2016-11-21 ~ 2018-09-30
Stephen R Gheen 44 Glenridge Rd, Whitesboro, NY 13492 Professional Engineer 2009-02-13 ~ 2010-01-31
Sandra J Capirci 3 Redfield Ave, Whitesboro, NY 13492 Licensed Practical Nurse 2008-09-02 ~ 2009-09-30
Albert A Zangrilli 17 Kurts Kourt, Whitesboro, NY 13492 Professional Engineer ~
Agatha A Smith 4 Calais Dr, Whitesboro, NY 13492 Registered Nurse 1994-07-27 ~ 1995-07-31
Pamela Purcell P.o.box 344, Whitesboro, NY 13492 Licensed Practical Nurse 2004-04-19 ~ 2005-01-31
Maureen Maher 9 Ashwood Ave, Whitesboro, NY 13492 Registered Nurse 2002-12-02 ~ 2003-12-31
Karen A Hughes 25 Sauquoit St, Whitesboro, NY 13492 Licensed Practical Nurse 2002-02-07 ~ 2003-02-28
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City Whitesboro
Zip Code 13492
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + Whitesboro

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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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