DARYL S SUPENA
Physical Therapist


Address: 1703 Fairfax Rd Apt G, Greensboro, NC 27407-4111

DARYL S SUPENA (Credential# 886615) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2014. The license expiration date date is June 30, 2015. The license status is INACTIVE.

Business Overview

DARYL S SUPENA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008783. The credential type is physical therapist. The effective date is July 1, 2014. The expiration date is June 30, 2015. The business address is 1703 Fairfax Rd Apt G, Greensboro, NC 27407-4111. The current status is inactive.

Basic Information

Licensee Name DARYL S SUPENA
Credential ID 886615
Credential Number 14.008783
Credential Type Physical Therapist
Business Address 1703 Fairfax Rd Apt G
Greensboro
NC 27407-4111
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-03-29
Effective Date 2014-07-01
Expiration Date 2015-06-30
Refresh Date 2015-10-08

Office Location

Street Address 1703 FAIRFAX RD APT G
City GREENSBORO
State NC
Zip Code 27407-4111

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
John Nelson Montgomery 4900 Koger Blvd. Suite100, Greensboro, NC 27407 Registered Nurse ~
Julia Denise Branch 4200 Cabarruscourt E, Greensboro, NC 27407 Registered Nurse 2019-01-01 ~ 2019-12-31
Sandra Lee Magliocca 4900 Koger Blvd, Greensboro, NC 27407 Registered Nurse 2020-07-01 ~ 2021-06-30
Carol A Norton Carter 5522 Cobble Glen Ct, Greensboro, NC 27407 Registered Nurse 2020-05-01 ~ 2021-04-30
Donna Jo Smith 4900 Koger Boulevard, Greensboro, NC 27407 Registered Nurse 2020-04-01 ~ 2021-03-31
Crystal Marie Blanchard 5503 Cobble Glen Court, Greensboro, NC 27407 Registered Nurse 2020-03-01 ~ 2021-02-28
Carol Thornton Crawford Accordant Health Services, Greensboro, NC 27407 Registered Nurse 2020-01-02 ~ 2021-01-31
Suzane Mehari Kidane 4900 Koger Blvd Ste 400, Greensboro, NC 27407 Registered Nurse 2020-01-01 ~ 2020-12-31
Jennifer Edwards Golinski 10 Cardwell Pt, Greensboro, NC 27407 Registered Nurse 2020-01-01 ~ 2020-12-31
Candy Michelle Peters 4900 Koger Blvd Suite 100, Greensboro, NC 27407 Registered Nurse 2019-11-07 ~ 2020-01-31
Find all Licenses in zip 27407

Competitor

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City GREENSBORO
Zip Code 27407
License Type Physical Therapist
License Type + County Physical Therapist + GREENSBORO

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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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