CHARLES E OTTO
Nursing Home Administrator


Address: 12 Lake Dr So, Riverside, CT 06878

CHARLES E OTTO (Credential# 764970) is licensed (Nursing Home Administrator) with Connecticut Department of Consumer Protection. The license effective date is October 21, 2004. The license expiration date date is November 30, 2006. The license status is INACTIVE.

Business Overview

CHARLES E OTTO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #36.000633. The credential type is nursing home administrator. The effective date is October 21, 2004. The expiration date is November 30, 2006. The business address is 12 Lake Dr So, Riverside, CT 06878. The current status is inactive.

Basic Information

Licensee Name CHARLES E OTTO
Credential ID 764970
Credential Number 36.000633
Credential Type Nursing Home Administrator
Business Address 12 Lake Dr So
Riverside
CT 06878
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1901-01-01
Effective Date 2004-10-21
Expiration Date 2006-11-30
Refresh Date 2009-07-08

Office Location

Street Address 12 LAKE DR SO
City RIVERSIDE
State CT
Zip Code 06878

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Msn Vending LLC 30 Carrona Dr, Riverside, CT 06878 Vending Machine Operator 2020-07-01 ~ 2021-06-30
Laura E Kaehler 13 Marks Road, Riverside, CT 06878 Architect 2020-08-01 ~ 2021-07-31
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Competitor

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City RIVERSIDE
Zip Code 06878
License Type Nursing Home Administrator
License Type + County Nursing Home Administrator + RIVERSIDE

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Dataset Information

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).

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