JACLYN PROVENCHER (Credential# 1631133) is licensed (Occupational Therapist) with Connecticut Department of Consumer Protection. The license effective date is February 11, 2019. The license expiration date date is July 31, 2019. The license status is INACTIVE.
JACLYN PROVENCHER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.005161. The credential type is occupational therapist. The effective date is February 11, 2019. The expiration date is July 31, 2019. The business address is 40 Plantation Dr, Agawam, MA 01001-3235. The current status is inactive.
| Licensee Name | JACLYN PROVENCHER |
| Credential ID | 1631133 |
| Credential Number | 48.005161 |
| Credential Type | Occupational Therapist |
| Business Address |
40 Plantation Dr Agawam MA 01001-3235 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2019-02-11 |
| Effective Date | 2019-02-11 |
| Expiration Date | 2019-07-31 |
| Refresh Date | 2019-11-03 |
| Street Address | 40 PLANTATION DR |
| City | AGAWAM |
| State | MA |
| Zip Code | 01001-3235 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| R Moran Enterprises LLC | 40 Plantation Dr, Agawam, MA 01001-3235 | Home Improvement Contractor | 2017-05-31 ~ 2017-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pamela J Freeman Brown | 1324 Main Street, Agawam, MA 01001 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ashley Erin Dimauro | 25 Deer Run Road, Agawam, MA 01001 | Registered Nurse | ~ |
| Lou A Fitch | 60 Mallard Circle, Agawam, MA 01001 | Notary Public Appointment | 2015-04-01 ~ 2020-03-31 |
| Maryanne Catanzaro · Catanzaro,leone | 16 Channell Drive, Agawam, MA 01001 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sunhee Hwang | 54 River Rd, Agawam, MA 01001 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-17 ~ 2021-10-31 |
| Taehoon An | 58 River Rd, Agawam, MA 01001 | Nail Technician | 2020-06-17 ~ 2022-05-31 |
| Ji Hye Safarik | 119 Albert St, Agawam, MA 01001 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-16 ~ 2022-02-28 |
| Consuelo Ana Leblanc | 39 Hunting Lane, Agawam, MA 01001 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sangkeun Yi | 322 Meadow St, Agwam, MA 01001 | Nail Technician | 2020-06-12 ~ 2022-06-30 |
| Kyunghee Koh | 56 River Road, Agawam, MA 01001 | Nail Technician | 2020-06-12 ~ 2021-08-31 |
| Find all Licenses in zip 01001 | |||
| City | AGAWAM |
| Zip Code | 01001 |
| License Type | Occupational Therapist |
| License Type + County | Occupational Therapist + AGAWAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cathy A Provencher | 2 Prunier Ct, Norwich, CT 06360 | Occupational Therapist Assistant | 1991-06-27 ~ 1993-07-31 |
| Cathy A Jackson · Provencher | 2 Pruiner Court, Norwich, CT 06360 | Occupational Therapist | 1995-07-05 ~ 1997-07-31 |
| Jaclyn G Lavigne | 138 Eastgate Dr, Cheshire, CT 06410-2235 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Jaclyn A Kopidlowski | 81 Satterthwaite Ave, Nutley, NJ 07110-1834 | Occupational Therapist | 2013-08-01 ~ 2015-07-31 |
| Jaclyn H Cmero | 310 Bennett Rd, Hampden, MA 01036-9103 | Occupational Therapist | 2011-08-01 ~ 2013-07-31 |
| Jaclyn Piselli | 535 Brooksvale Ave, Hamden, CT 06518-1236 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Jaclyn Zambrella | 209 Garth Road, Apt 6m, Scarsdale, NY 10583 | Occupational Therapist | ~ |
| Jaclyn Inzalaco | 41 Wichard Blvd, Commack, NY 11725-1708 | Occupational Therapist | 2020-02-06 ~ 2021-07-31 |
| Jaclyn M Maier | 187 Williams Rd, Wallingford, CT 06492-2732 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Jaclyn M. Magnuszewski | 63 Edward St, Newington, CT 06111-4717 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on JACLYN PROVENCHER.
| 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).