BLAIR R CHURCH (Credential# 1349397) is licensed (Occupational Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2021. The license status is ACTIVE.
BLAIR R CHURCH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #49.001702. The credential type is occupational therapist assistant. The effective date is August 1, 2019. The expiration date is July 31, 2021. The business address is 415 Pequot Ave, New London, CT 06320-4407. The current status is active.
| Licensee Name | BLAIR R CHURCH |
| Credential ID | 1349397 |
| Credential Number | 49.001702 |
| Credential Type | Occupational Therapist Assistant |
| Business Address |
415 Pequot Ave New London CT 06320-4407 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-04-28 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2019-08-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2039555 | 48-TEMP | Occupational Therapist Temporary Permit | 2020-04-29 | 2020-04-29 - 2020-08-27 | ACTIVE |
| 2036435 | 48 | Occupational Therapist | - | PENDING |
| Street Address | 415 PEQUOT AVE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4407 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul R Bourguignon | Nemg, New London, CT 06320 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephan Nousiopoulos | 27 Alger Place, New London, CT 06320 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diana Elisabeth Cabrera-mora | 327 Montauk Avenue, New London, CT 06320 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
| Yuhua Han | 18 Anthony Rd Apt H, New London, CT 06320 | Massage Therapist | ~ |
| Empire Pizza · Empire Pizza LLC | 150 Broad St, New London, CT 06320 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Irene C Besser | 19 Hawthorne Dr, New London, CT 06320 | Licensed Nurse Midwife | 2020-09-01 ~ 2021-08-31 |
| Robert F Gardner | 241 Crystal Ave, New London, CT 06320 | Home Improvement Salesperson | 2020-06-26 ~ 2020-11-30 |
| Angie Alejandra Botero Castro | 14 Concord Court, Groton, CT 06320 | Master's Level Social Worker | ~ |
| Kevin J O'reilly | 20 Parkway South, New London, CT 06320 | Psychologist | 2020-09-01 ~ 2021-08-31 |
| Sonny's Market LLC | 324 Jefferson Ave, New London, CT 06320 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06320 | |||
| City | NEW LONDON |
| Zip Code | 06320 |
| License Type | Occupational Therapist Assistant |
| License Type + County | Occupational Therapist Assistant + NEW LONDON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel Isch | 230 Church St, Brooklyn, CT 06234 | Occupational Therapist Assistant | 1993-11-10 ~ 1995-07-31 |
| Christopher T Mote | 156 Bethesda Church Rd, Lawrenceville, GA 30044-6413 | Occupational Therapist Assistant | 2013-08-01 ~ 2015-07-31 |
| Jacquelyn Lepre | 3 Church Ln Apt D, Valley Cottage, NY 10989-1942 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Irene Okyere Darko | 50 Church St Apt B5, East Hartford, CT 06108-3733 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Janna Marley Boettcher | 1037 Liberty Church Rd, Mocksville, NC 27028 | Occupational Therapist Assistant | 2017-08-01 ~ 2019-07-31 |
| Jennifer L Blair | 1704 T St Nw Apt 102, Washington, DC 20009-7104 | Occupational Therapist | 2013-08-01 ~ 2015-07-31 |
| Sera J Blair | 37 Sima Rd, Higganum, CT 06441-4352 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
| Wayne R Blair | #9 Robin Road, Kinderhook, NY 12106 | Physical Therapist Assistant | 2003-07-01 ~ 2006-11-01 |
| Melinda A Blair | 255 Coldstream Farm Rd, Madisonville, TN 37354-6297 | Physical Therapist Assistant | 2019-08-01 ~ 2020-07-31 |
| Christine Moras | 46c Church St., Norwich, CT 06360 | Occupational Therapist | 1999-05-27 ~ 2001-07-31 |
Please comment or provide details below to improve the information on BLAIR R CHURCH.
| 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).