JUNG S BAE
Physical Therapist Assistant


Address: 155 Crary Ave., Mount Vernon, NY 10550

JUNG S BAE (Credential# 786947) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 27, 2004. The license expiration date date is November 1, 2006. The license status is INACTIVE.

Business Overview

JUNG S BAE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000806. The credential type is physical therapist assistant. The effective date is July 27, 2004. The expiration date is November 1, 2006. The business address is 155 Crary Ave., Mount Vernon, NY 10550. The current status is inactive.

Basic Information

Licensee Name JUNG S BAE
Credential ID 786947
Credential Number 63.000806
Credential Type Physical Therapist Assistant
Business Address 155 Crary Ave.
Mount Vernon
NY 10550
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-07-27
Effective Date 2004-07-27
Expiration Date 2006-11-01
Refresh Date 2009-07-08

Office Location

Street Address 155 Crary Ave.
City Mount Vernon
State NY
Zip Code 10550

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Competitor

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City Mount Vernon
Zip Code 10550
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + Mount Vernon

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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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