JACOB E BLAINE (Credential# 692370) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 30, 2000. The license expiration date date is September 30, 2001. The license status is INACTIVE.
JACOB E BLAINE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.006795. The credential type is physical therapist. The effective date is November 30, 2000. The expiration date is September 30, 2001. The business address is 65 Prospect St, Stamford, CT 06901. The current status is inactive.
| Licensee Name | JACOB E BLAINE |
| Credential ID | 692370 |
| Credential Number | 14.006795 |
| Credential Type | Physical Therapist |
| Business Address |
65 Prospect St Stamford CT 06901 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2000-11-30 |
| Effective Date | 2000-11-30 |
| Expiration Date | 2001-09-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 65 Prospect St |
| City | Stamford |
| State | CT |
| Zip Code | 06901 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Edward Goulart | 65 Prospect St, Stamford, CT 06901-1634 | Off Track Betting Facility Employee | 2020-01-01 ~ 2020-12-31 |
| Lawrence J Pearson | 65 Prospect St, Stamford, CT 06901 | Dentist | 1999-05-26 ~ 2000-04-30 |
| Belle G Miller | 65 Prospect St, Stamford, CT 06901 | Notary Public Appointment | 1987-11-01 ~ 1992-03-31 |
| Marie J Carner | 65 Prospect St, Stamford, CT 06901 | Notary Public Appointment | 1992-04-01 ~ 1992-03-31 |
| Hazel W Hansen | 65 Prospect St, Stamford, CT 06900 | Notary Public Appointment | 1981-12-01 ~ 1986-03-31 |
| Betty St Arnault | 65 Prospect St, Stamford, CT 06900 | Notary Public Appointment | 1969-07-01 ~ 1974-03-31 |
| Tai P Nguyen | 65 Prospect St, Stamford, CT 06901-1634 | Engineer-in-training | ~ |
| 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 | Physical Therapist |
| License Type + County | Physical Therapist + Stamford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Morris Gross | 184 Blaine Street, Fairfield, CT 06824 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| Daniel J Van House | 10052 Pleasure Creek Cir Ne, Blaine, MN 55434-4233 | Physical Therapist | 2012-11-01 ~ 2013-10-31 |
| Jacob Chwiedz | 27 Christina Ct, Clinton, CT 06413-1054 | Physical Therapist | ~ |
| Jacob W Lang | 18 Burwell Ave, Southington, CT 06489-3605 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Jacob A Hunter | 36 Mansion Rd, Wallingford, CT 06492-4309 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Christopher Jacob | 75 Spruce St, Wethersfield, CT 06109-1648 | Physical Therapist Assistant | 2020-07-01 ~ 2021-06-30 |
| Jacob J Tucciarone | 198 Matthew Street, Prospect, CT 06712 | Physical Therapist | 2019-12-01 ~ 2020-11-30 |
| Jacob L Cetera | 6334 N Sheridan Rd Apt 2f, Chicago, IL 60660-1754 | Physical Therapist | 2016-02-04 ~ 2016-12-31 |
| Jacob Francis Ciolino | 6127 Kingsbury Ave, Saint Louis, MO 63112-1101 | Physical Therapist | ~ |
| Bestinjohn Kanjiracal Jacob | 5432 Hillshire Way, Glen Allen, VA 23059-7143 | Physical Therapist | ~ |
Please comment or provide details below to improve the information on JACOB E BLAINE.
| 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).