JACOB C BLACK
Emergency Medical Technician


Address: 32 Quarry Village Rd, Cheshire, CT 06410-2059

JACOB C BLACK (Credential# 1288541) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is December 11, 2015. The license expiration date date is April 1, 2018. The license status is INACTIVE.

Business Overview

JACOB C BLACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.019974. The credential type is emergency medical technician. The effective date is December 11, 2015. The expiration date is April 1, 2018. The business address is 32 Quarry Village Rd, Cheshire, CT 06410-2059. The current status is inactive.

Basic Information

Licensee Name JACOB C BLACK
Credential ID 1288541
Credential Number 70.019974
Credential Type Emergency Medical Technician
Business Address 32 Quarry Village Rd
Cheshire
CT 06410-2059
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2015-12-11
Effective Date 2015-12-11
Expiration Date 2018-04-01
Refresh Date 2018-07-05

Office Location

Street Address 32 QUARRY VILLAGE RD
City CHESHIRE
State CT
Zip Code 06410-2059

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Maria T Fasulo 32 Quarry Village Rd, Cheshire, CT 06410-2059 Hairdresser/cosmetician 2020-06-01 ~ 2022-05-31
Custom Painting LLC 32 Quarry Village Rd, Cheshire, CT 06410-2059 Home Improvement Contractor 2008-08-21 ~ 2008-11-30

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Faith H Morico · Hennessey 177 Wallingford Rd, Cheshire, CT 06410 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Renee D Kane 40 Willow St, Cheshire, CT 06410 Advanced Practice Registered Nurse 2020-08-01 ~ 2021-07-31
Kara Capuano 20 Renee Court, Cheshire, CT 06410 Registered Nurse 2020-07-01 ~ 2021-06-30
Eugenia A Marquez 22 Currier Way, Cheshire, CT 06410 Radiographer 2020-07-01 ~ 2021-06-30
Mahnaz M Emamian 471 West Main St, Cheshire, CT 06410 Esthetician ~
Margarita A. Norris 302 Highland Avenue, Cheshire, CT 06410 Registered Nurse 2020-08-01 ~ 2021-07-31
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Competitor

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City CHESHIRE
Zip Code 06410
License Type Emergency Medical Technician
License Type + County Emergency Medical Technician + CHESHIRE

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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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