SUPRIYA SATHISHKUMAR
Physical Therapist


Address: 29 Van Buren Ave Apt K7, Norwalk, CT 06850-3326

SUPRIYA SATHISHKUMAR (Credential# 924515) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2014. The license expiration date date is March 31, 2015. The license status is INACTIVE.

Business Overview

SUPRIYA SATHISHKUMAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009643. The credential type is physical therapist. The effective date is April 1, 2014. The expiration date is March 31, 2015. The business address is 29 Van Buren Ave Apt K7, Norwalk, CT 06850-3326. The current status is inactive.

Basic Information

Licensee Name SUPRIYA SATHISHKUMAR
Credential ID 924515
Credential Number 14.009643
Credential Type Physical Therapist
Business Address 29 Van Buren Ave Apt K7
Norwalk
CT 06850-3326
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-12-31
Effective Date 2014-04-01
Expiration Date 2015-03-31
Refresh Date 2015-07-06

Office Location

Street Address 29 VAN BUREN AVE APT K7
City NORWALK
State CT
Zip Code 06850-3326

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Competitor

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City NORWALK
Zip Code 06850
License Type Physical Therapist
License Type + County Physical Therapist + NORWALK

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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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