License holder summary

MANJU IDICULLA is a Physical Therapist Assistant licensed to practice in Connecticut. The address on file for MANJU IDICULLA is 212 Sterling Drive, Hartford, Newington, CT, 06111. This licensed professional license is current. The license was granted 11/29/2007 and expired on 03/31/2015.

Connecticut

Department of Consumer Protection

MANJU IDICULLA
Physical Therapist Assistant
License number
986
Date granted
11/29/2007
Date expires
03/31/2015
Class
Physical Therapist Assistant
Status
Active
Address
212 Sterling Drive, Hartford, Newington, CT, 06111
ctlicensing.org
ID 4310364
LAST UPDATED 2024-03-29 05:06:41 UTC

This website is unaffiliated with the Department of Consumer Protection . Please verify all information directly with the relevant official government authority.

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