KIM ANN MAHONEY
Occupational Therapist Assistant


Address: 1210 Puritan Ave, Bronx, NY 10461-6153

KIM ANN MAHONEY (Credential# 1046352) is licensed (Occupational Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2015. The license expiration date date is July 31, 2017. The license status is INACTIVE.

Business Overview

KIM ANN MAHONEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #49.001271. The credential type is occupational therapist assistant. The effective date is August 1, 2015. The expiration date is July 31, 2017. The business address is 1210 Puritan Ave, Bronx, NY 10461-6153. The current status is inactive.

Basic Information

Licensee Name KIM ANN MAHONEY
Credential ID 1046352
Credential Number 49.001271
Credential Type Occupational Therapist Assistant
Business Address 1210 Puritan Ave
Bronx
NY 10461-6153
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-02-01
Effective Date 2015-08-01
Expiration Date 2017-07-31
Refresh Date 2017-11-03

Office Location

Street Address 1210 PURITAN AVE
City BRONX
State NY
Zip Code 10461-6153

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Competitor

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City BRONX
Zip Code 10461
License Type Occupational Therapist Assistant
License Type + County Occupational Therapist Assistant + BRONX

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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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