SANDRO MICOCCI
Physical Therapist


Address: 198 Bittercreek Dr, Folsom, CA 95630-2352

SANDRO MICOCCI (Credential# 944632) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2011. The license expiration date date is November 30, 2012. The license status is INACTIVE.

Business Overview

SANDRO MICOCCI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008887. The credential type is physical therapist. The effective date is December 1, 2011. The expiration date is November 30, 2012. The business address is 198 Bittercreek Dr, Folsom, CA 95630-2352. The current status is inactive.

Basic Information

Licensee Name SANDRO MICOCCI
Credential ID 944632
Credential Number 14.008887
Credential Type Physical Therapist
Business Address 198 Bittercreek Dr
Folsom
CA 95630-2352
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-08-17
Effective Date 2011-12-01
Expiration Date 2012-11-30
Refresh Date 2013-03-06

Office Location

Street Address 198 BITTERCREEK DR
City FOLSOM
State CA
Zip Code 95630-2352

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Competitor

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City FOLSOM
Zip Code 95630
License Type Physical Therapist
License Type + County Physical Therapist + FOLSOM

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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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