KEVIN M BLAKE (Credential# 693636) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is February 26, 2007. The license expiration date date is October 31, 2007. The license status is INACTIVE.
KEVIN M BLAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008061. The credential type is physical therapist. The effective date is February 26, 2007. The expiration date is October 31, 2007. The business address is 52 Laurel Hill Dr., Niantic, CT 06357-1506. The current status is inactive.
| Licensee Name | KEVIN M BLAKE |
| Credential ID | 693636 |
| Credential Number | 14.008061 |
| Credential Type | Physical Therapist |
| Business Address |
52 Laurel Hill Dr. Niantic CT 06357-1506 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2007-02-26 |
| Effective Date | 2007-02-26 |
| Expiration Date | 2007-10-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 52 Laurel Hill Dr. |
| City | Niantic |
| State | CT |
| Zip Code | 06357-1506 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Timothy R Mcmahon | 48 Laurel Hill Dr, Niantic, CT 06357-1506 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Shawn D Roach | 46 Laurel Hill Dr, Niantic, CT 06357-1506 | Home Improvement Salesperson | 2019-12-01 ~ 2020-11-30 |
| Robert E Cassidy Jr · Robert Cassidy Jr Plumbing & Heating Inc | 40 Laurel Hill Dr, Niantic, CT 06357-1506 | Plumbing & Piping Unlimited Contractor | 2019-11-01 ~ 2020-10-31 |
| Maura K Whaley | 26 Laurel Hill Dr, Niantic, CT 06357-1506 | Emergency Medical Technician | 2019-07-29 ~ 2022-06-30 |
| Allison M Kilmer | 28 Laurel Hill Dr, Niantic, CT 06357-1506 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie L Van Alsten | 20 Laurel Hill Dr, Niantic, CT 06357-1506 | Emergency Medical Technician | 2013-11-22 ~ 2017-01-01 |
| Erin E Whaley | 26 Laurel Hill Dr, Niantic, CT 06357-1506 | Physical Therapist | 2020-02-01 ~ 2021-01-31 |
| 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 | Physical Therapist |
| License Type + County | Physical Therapist + Niantic |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathryn M Kelly | 187 Blake St Apt 1, New Haven, CT 06515-1308 | Physical Therapist | 1984-11-29 ~ 1986-03-31 |
| Karen J Blake | 62 Fair St, Wallingford, CT 06492-4209 | Physical Therapist | 2013-08-01 ~ 2014-07-31 |
| Carol J Dohanyos | 154 Blake St., Torrington, CT 06790 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Jessica M Morrill | 56 Blake Rd, New Britain, CT 06053 | Physical Therapist Assistant | 2000-06-16 ~ 2006-11-01 |
| Charles Z Sheets | 56 Blake Road, New Britain, CT 06053 | Physical Therapist | 2000-12-15 ~ 2002-01-31 |
| Garrett Graham | 400 Blake Street, New Haven, CT 06515 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Anne M Blake | 10 Norman Drive, Gales Ferry, CT 06335-1516 | Physical Therapist | 1996-11-15 ~ 1997-12-31 |
| Christopher A Blake | 78 Trolley Crossing Lane, Middletown, CT 06457 | Physical Therapist Assistant | 2020-04-01 ~ 2021-03-31 |
| Kevin Stimmel | 57 Joy Rd Apt 57c, Milford, CT 06460-6049 | Physical Therapist | ~ |
| Kevin M Schoenberger | 415, Ledyard, CT 06339 | Physical Therapist | 1995-10-16 ~ 1996-12-31 |
Please comment or provide details below to improve the information on KEVIN M 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).