DERRICKER BLAKE (Credential# 1630944) is licensed (Occupational Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 30, 2019. The license expiration date date is July 31, 2021. The license status is ACTIVE.
DERRICKER BLAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #49.001984. The credential type is occupational therapist assistant. The effective date is May 30, 2019. The expiration date is July 31, 2021. The business address is 14 Grant St, Tuckahoe, NY 10707-4152. The current status is active.
| Licensee Name | DERRICKER BLAKE |
| Credential ID | 1630944 |
| Credential Number | 49.001984 |
| Credential Type | Occupational Therapist Assistant |
| Business Address |
14 Grant St Tuckahoe NY 10707-4152 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-05-30 |
| Effective Date | 2019-05-30 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2019-06-03 |
| Street Address | 14 GRANT ST |
| City | TUCKAHOE |
| State | NY |
| Zip Code | 10707-4152 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John Benke | 4 Tara Way, Tuckaroe, NY 10707 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Julie E Christoforo | 343 Hollywood Avenue, Yonkers, NY 10707 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sandra Simpson | 380 Columbus Avenue 2nd Fl, Tuckahoe, NY 10707 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Danielle L Locicero | 27b Grant Street, Tuckahoe, NY 10707 | Certified Residential Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Alex Kurjiaka | 22 Fairview Avenue, Tuckahoe, NY 10707 | Professional Counselor Associate | 2020-03-23 ~ 2020-08-31 |
| Ellen Cho | 775 Scarsdale Rd Unit 18, Tuckahoe, NY 10707 | Veterinarian | 2020-04-01 ~ 2021-03-31 |
| Farron V Roboff | 775 Scarsdale Road, Tuckahoe, NY 10707 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| James R Darcangelo | 454 Westchester Avenue, Tuckahoe, NY 10707 | Certified Public Accountant License | 2019-01-01 ~ 2019-12-31 |
| William J Schneider | 34 Lincoln Circle, Tuckahoe, NY 10707 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Mary Breda Morrissey | 70 Manhattan Ave., Tuckahoe, NY 10707 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 10707 | |||
| City | TUCKAHOE |
| Zip Code | 10707 |
| License Type | Occupational Therapist Assistant |
| License Type + County | Occupational Therapist Assistant + TUCKAHOE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Blake E Smith | 18 Depot St Apt 1, Dalton, MA 01226-1849 | Occupational Therapist Assistant | 2017-08-01 ~ 2019-07-31 |
| Andrea C Blake | 50 Forest St Apt 711, Stamford, CT 06901-1867 | Occupational Therapist Assistant | 2017-08-01 ~ 2019-07-31 |
| Elizabeth A Blake | 38 Kay St., Springfield, MA 01109 | Occupational Therapist | 2007-08-30 ~ 2009-07-31 |
| Allison N Blake | 319 Lovley Dr, Watertown, CT 06795-3162 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Debby K Blake | Hc64 Box 175, Clifton, TX 76634 | Occupational Therapist | ~ 1997-07-31 |
| Walter E Blake | 50 Fairfield Rd., West Hartford, CT 06117 | Occupational Therapist | 2013-08-01 ~ 2015-07-31 |
| Kelly L Blake | 41 East Street, Watertown, CT 06795 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Linda R Blake | 9 Matson Ridge, Old Lyme, CT 06371 | Occupational Therapist | 2015-08-01 ~ 2017-07-31 |
| Susan M Blake | 40 Pinehills Dr Apt 1218, Plymouth, MA 02360-7823 | Occupational Therapist | 2017-08-01 ~ 2019-07-31 |
| Jessica M Morrill | 56 Blake Rd, New Britain, CT 06053 | Physical Therapist Assistant | 2000-06-16 ~ 2006-11-01 |
Please comment or provide details below to improve the information on DERRICKER 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).