ALYSSA J PROVOST (Credential# 1367531) is licensed (Occupational Therapist) 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.
ALYSSA J PROVOST is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.004649. The credential type is occupational therapist. The effective date is August 1, 2019. The expiration date is July 31, 2021. The business address is 15 Freedom Way Unit 41, Niantic, CT 06357-1050. The current status is active.
| Licensee Name | ALYSSA J PROVOST |
| Credential ID | 1367531 |
| Credential Number | 48.004649 |
| Credential Type | Occupational Therapist |
| Business Address |
15 Freedom Way Unit 41 Niantic CT 06357-1050 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-07-26 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2019-08-02 |
| Street Address | 15 FREEDOM WAY UNIT 41 |
| City | NIANTIC |
| State | CT |
| Zip Code | 06357-1050 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Young Sun Kim | 265 Roxbury Rd, Niantic, CT 06357 | Nail Technician | ~ |
| Melissa B Bender | 9 Hoskins St, Niantic, CT 06357 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
| Rachel Brennan | 8 Louise Drive, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tianhua Wang | 11 King Arthur Dr Unit 2h, Niantic, CT 06357 | Nail Technician | 2020-06-26 ~ 2022-02-28 |
| Maxwell V Nucci | 70 Smith St, Niantic, CT 06357 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Virada Lackey | 22 Sunnie Side Drive, Niantic, CT 06357 | Real Estate Salesperson | ~ |
| Niantic Cinema Corp | 279 Main St, Niantic, CT 06357 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Olivia M Blodgett | 30 Lake Ave, Niantic, CT 06357 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine S Kleczkowski | P.o. Box 281, Niantic, CT 06357 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Robert W Cunningham | 9 South Rd., Niantic, CT 06357 | Distribution System Operator - Class II | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06357 | |||
| City | NIANTIC |
| Zip Code | 06357 |
| License Type | Occupational Therapist |
| License Type + County | Occupational Therapist + NIANTIC |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Eva B Provost · Orlowski | 285 Karen Drive, Orange, CT 06477 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Alyssa M Hunt | 121 Oak Dr, Watertown, CT 06795-3140 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Alyssa C Fortna | 33 Erdoni Rd, Columbia, CT 06237-1306 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Alyssa F Colarusso | 23 Pickering Ln, Wethersfield, CT 06109-3679 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Alyssa N Felesky | 914 Hillside Ave, Edgewater, MD 21037-3915 | Occupational Therapist | 2015-10-08 ~ 2017-07-31 |
| Alyssa Olsen | 8 Dolphin Ct, Jackson, NJ 08527-4858 | Occupational Therapist | 2020-03-09 ~ 2021-07-31 |
| Alyssa Rae Dumphy | 46 Ladyslipper Ln, Southington, CT 06489-1083 | Occupational Therapist | 2020-01-21 ~ 2021-07-31 |
| Alyssa J Weisberg | 22 Hoskins Rd, Simsbury, CT 06070 | Occupational Therapist | ~ 1995-07-31 |
| Alyssa R Sutfin | 17 Grant Rd, Manchester, CT 06042-2935 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Alyssa Rose Bond | 59 Lehtinen Rd, Thompson, CT 06277 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on ALYSSA J PROVOST.
| 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).