KELLY Q WHITE
Physical Therapist


Address: 29 Skyview Ter, Manchester, CT 06040-7077

KELLY Q WHITE (Credential# 992966) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2012. The license expiration date date is May 31, 2013. The license status is INACTIVE.

Business Overview

KELLY Q WHITE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009056. The credential type is physical therapist. The effective date is June 1, 2012. The expiration date is May 31, 2013. The business address is 29 Skyview Ter, Manchester, CT 06040-7077. The current status is inactive.

Basic Information

Licensee Name KELLY Q WHITE
Credential ID 992966
Credential Number 14.009056
Credential Type Physical Therapist
Business Address 29 Skyview Ter
Manchester
CT 06040-7077
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-05-02
Effective Date 2012-06-01
Expiration Date 2013-05-31
Refresh Date 2013-09-05

Office Location

Street Address 29 SKYVIEW TER
City MANCHESTER
State CT
Zip Code 06040-7077

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Competitor

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City MANCHESTER
Zip Code 06040
License Type Physical Therapist
License Type + County Physical Therapist + MANCHESTER

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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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