SUSAN M MONDOR
Physical Therapist Assistant


Address: 347 Glendale Rd., Wilbraham, MA 01095

SUSAN M MONDOR (Credential# 787131) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2016. The license expiration date date is April 30, 2017. The license status is INACTIVE.

Business Overview

SUSAN M MONDOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.000990. The credential type is physical therapist assistant. The effective date is May 1, 2016. The expiration date is April 30, 2017. The business address is 347 Glendale Rd., Wilbraham, MA 01095. The current status is inactive.

Basic Information

Licensee Name SUSAN M MONDOR
Credential ID 787131
Credential Number 63.000990
Credential Type Physical Therapist Assistant
Business Address 347 Glendale Rd.
Wilbraham
MA 01095
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-01-28
Effective Date 2016-05-01
Expiration Date 2017-04-30
Refresh Date 2017-08-03

Office Location

Street Address 347 Glendale Rd.
City Wilbraham
State MA
Zip Code 01095

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Competitor

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City Wilbraham
Zip Code 01095
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + Wilbraham

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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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