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STATE OF CONNECTICUT-DEPARTMENT OF PUBLIC HEALTH PHYSICAL THERAPIST LICENSURE VERIFICATION OF LICENSURE/CERTIFICATION/REGISTRATION Applicant- Complete the top portion of this form and forward it to
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ptlicverifdoc - ct is a form used to verify documentation related to a particular license or permit.
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The individual or entity holding the license or permit is typically required to file ptlicverifdoc - ct.
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The purpose of ptlicverifdoc - ct is to ensure that the holder of the license or permit has met all necessary requirements and has the proper documentation in place.
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Information such as license/permit number, expiration date, name of license holder, and any relevant documentation to support the validity of the license/permit.
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