KIMBERLEY E CHURCHILL
Occupational Therapist Assistant


Address: 91 Washington St, Manchester, CT 06042-3544

KIMBERLEY E CHURCHILL (Credential# 1233389) 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

KIMBERLEY E CHURCHILL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #49.001519. 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 91 Washington St, Manchester, CT 06042-3544. The current status is inactive.

Basic Information

Licensee Name KIMBERLEY E CHURCHILL
Credential ID 1233389
Credential Number 49.001519
Credential Type Occupational Therapist Assistant
Business Address 91 Washington St
Manchester
CT 06042-3544
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-07-24
Effective Date 2015-08-01
Expiration Date 2017-07-31
Refresh Date 2017-11-03

Office Location

Street Address 91 WASHINGTON ST
City MANCHESTER
State CT
Zip Code 06042-3544

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Competitor

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City MANCHESTER
Zip Code 06042
License Type Occupational Therapist Assistant
License Type + County Occupational Therapist Assistant + 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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