ZACHARY P LASALLE
Physical Therapist Assistant


Address: 809 South Second St., Hamilton, MT 59840

ZACHARY P LASALLE (Credential# 786452) 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

ZACHARY P LASALLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000310. The credential type is physical therapist assistant. The expiration date is November 1, 2006. The business address is 809 South Second St., Hamilton, MT 59840. The current status is inactive.

Basic Information

Licensee Name ZACHARY P LASALLE
Credential ID 786452
Credential Number 63.000310
Credential Type Physical Therapist Assistant
Business Address 809 South Second St.
Hamilton
MT 59840
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-09-18
Expiration Date 2006-11-01
Refresh Date 2009-07-08

Office Location

Street Address 809 South Second St.
City Hamilton
State MT
Zip Code 59840

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Annette M Pigman 935 North 1st Street, Hamilton, MT 59840 Registered Nurse 2012-06-01 ~ 2013-05-31
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City Hamilton
Zip Code 59840
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + Hamilton

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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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