ANDREA C BLAKE (Credential# 1383469) is licensed (Occupational Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2017. The license expiration date date is July 31, 2019. The license status is INACTIVE.
ANDREA C BLAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #49.001755. The credential type is occupational therapist assistant. The effective date is August 1, 2017. The expiration date is July 31, 2019. The business address is 50 Forest St Apt 711, Stamford, CT 06901-1867. The current status is inactive.
| Licensee Name | ANDREA C BLAKE |
| Credential ID | 1383469 |
| Credential Number | 49.001755 |
| Credential Type | Occupational Therapist Assistant |
| Business Address |
50 Forest St Apt 711 Stamford CT 06901-1867 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-11-18 |
| Effective Date | 2017-08-01 |
| Expiration Date | 2019-07-31 |
| Refresh Date | 2019-11-03 |
| Street Address | 50 FOREST ST APT 711 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06901-1867 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca Jacobs | 50 Forest St Apt 703, Stamford, CT 06901-1867 | Hairdresser/cosmetician | 2019-01-01 ~ 2020-12-31 |
| Ricardo Abraham Whittaker | 50 Forest St Apt 624, Stamford, CT 06901-1867 | Physical Therapist | 2019-08-01 ~ 2020-08-31 |
| Linda Joseph | 50 Forest St Apt 714, Stamford, CT 06901-1867 | Real Estate Salesperson | 2013-06-13 ~ 2014-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jisun Lee | 140 Grove St #3a, Stamford, CT 06901 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Sbarro # 968 | 100 Greyrock Place, Stamford, CT 06901 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Sausan A Hilmi Md | Ehe International, Stamford, CT 06901 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Andrew Sosa | 66 Summer Street Apt 1508, Stamford, CT 06901 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Melissa Kay Rosenberg | 180 Broad Street, Stamford, CT 06901 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Niki Maroulakos | 1 Broad Street, Stamford, CT 06901 | Real Estate Salesperson | 2020-06-16 ~ 2021-05-31 |
| Ana D Granda | 355 Atlantic St Unit 20d, Stamford, CT 06901 | Real Estate Salesperson | 2020-06-11 ~ 2021-05-31 |
| Zachary Daly Walzer | 800 Summer St, Stamford, CT 06901 | Notary Public Appointment | 2020-06-16 ~ 2025-06-30 |
| Kathy E Dunigan | 2 Canterbury Green #2508, Stamford, CT 06901 | Notary Public Appointment | 2020-06-16 ~ 2025-06-30 |
| Iwona Grzebyk | 99 Prospect Str Apt 5e, Stamford, CT 06901 | Esthetician | 2020-06-13 ~ 2022-03-31 |
| Find all Licenses in zip 06901 | |||
| City | STAMFORD |
| Zip Code | 06901 |
| License Type | Occupational Therapist Assistant |
| License Type + County | Occupational Therapist Assistant + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Derricker Blake | 14 Grant St, Tuckahoe, NY 10707-4152 | Occupational Therapist Assistant | 2019-05-30 ~ 2021-07-31 |
| Blake E Smith | 18 Depot St Apt 1, Dalton, MA 01226-1849 | Occupational Therapist Assistant | 2017-08-01 ~ 2019-07-31 |
| Andrea L Blume | 5 Upland St E, Greenwich, CT 06831-4946 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Andrea M Markure | 36 Donovan Rd, Naugatuck, CT 06770-3132 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Andrea E Nocera | 489 Wolcott St, Bristol, CT 06010 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Andrea M Cordis | 411 Soule Rd, Wilbraham, MA 01095-2432 | Occupational Therapist Assistant | 2007-06-08 ~ 2009-07-31 |
| Andrea R Iaconetti | 118 Crotona Ave, Harrison, NY 10528-2945 | Occupational Therapist Assistant | 2011-08-01 ~ 2013-07-31 |
| Andrea Pendergast | 1175 Farmington Ave 4-215, Bristol, CT 06010 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Andrea T Lapenta | 4 Eleanor Drive, Vernon, CT 06066 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Andrea L Jabs · Thomas | 104 Uconn Drive, Bristol, CT 06010 | Occupational Therapist Assistant | 1999-06-24 ~ 2001-07-31 |
Please comment or provide details below to improve the information on ANDREA C BLAKE.
| 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).