BLAKE COSTA
Emergency Medical Technician


Address: 159 Union St, Bristol, CT 06010-6565

BLAKE COSTA (Credential# 1224519) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is May 28, 2014. The license expiration date date is April 1, 2016. The license status is INACTIVE.

Business Overview

BLAKE COSTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.017634. The credential type is emergency medical technician. The effective date is May 28, 2014. The expiration date is April 1, 2016. The business address is 159 Union St, Bristol, CT 06010-6565. The current status is inactive.

Basic Information

Licensee Name BLAKE COSTA
Credential ID 1224519
Credential Number 70.017634
Credential Type Emergency Medical Technician
Business Address 159 Union St
Bristol
CT 06010-6565
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-05-28
Effective Date 2014-05-28
Expiration Date 2016-04-01
Refresh Date 2016-07-15

Other locations

Licensee Name Office Address Credential Effective / Expiration
Blake Costa 460 Capitol Avenue, Hartford, CT 06106 Medication Administration Certification 2014-03-12 ~ 2016-03-11

Office Location

Street Address 159 UNION ST
City BRISTOL
State CT
Zip Code 06010-6565

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Licensee Name Office Address Credential Effective / Expiration
Nick L Kozikowski 159 Union St, Bristol, CT 06010-6565 Milk Examiner 2018-04-23 ~ 2020-04-22

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Competitor

Search similar business entities

City BRISTOL
Zip Code 06010
License Type Emergency Medical Technician
License Type + County Emergency Medical Technician + BRISTOL

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Anthony R Costa 41 Nathan Hale Dr, Newington, CT 06111-1224 Emergency Medical Technician ~
Tara E Dooley 3 Costa Ln, Redding, CT 06896-1401 Emergency Medical Technician 2019-10-01 ~ 2022-09-30
Daniel B Costa Po Box 525, Warren, RI 02885-0525 Advanced Emergency Medical Technician 2010-01-14 ~ 2013-01-01
Costa E Konstantinidis 126 River Rd, Colchester, CT 06415-1713 Emergency Medical Technician 2019-10-01 ~ 2022-09-30
Adrienne E Dooley 3 Costa Ln, Redding, CT 06896-1401 Emergency Medical Technician 2014-07-09 ~ 2017-04-01
Kathleen Heller 8 Costa Ln, Redding, CT 06896-1401 Emergency Medical Technician 2020-04-01 ~ 2023-03-31
Carlos D Costa 50 Chestnut St, West Haven, CT 06516-4923 Emergency Medical Technician ~
Daniel J Costa 212 Celia Dr, Wolcott, CT 06705-3111 Emergency Medical Technician 2020-04-01 ~ 2023-03-31
Bennie S Wallace 4 Costa Lane, Redding, CT 06896 Emergency Medical Technician ~ 1998-07-01
Rebecca E Wallace 4 Costa Lane, Redding, CT 06893 Emergency Medical Technician 2002-08-22 ~ 2004-04-01

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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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