EDEN D DIAMOND
Occupational Therapist


Address: 165 Pepperidge Cir, Fairfield, CT 06824 3427

EDEN D DIAMOND (Credential# 773570) is licensed (Occupational Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2011. The license expiration date date is July 31, 2013. The license status is INACTIVE.

Business Overview

EDEN D DIAMOND is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.000650. The credential type is occupational therapist. The effective date is August 1, 2011. The expiration date is July 31, 2013. The business address is 165 Pepperidge Cir, Fairfield, CT 06824 3427. The current status is inactive.

Basic Information

Licensee Name EDEN D DIAMOND
Credential ID 773570
Credential Number 48.000650
Credential Type Occupational Therapist
Business Address 165 Pepperidge Cir
Fairfield
CT 06824 3427
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1986-09-16
Effective Date 2011-08-01
Expiration Date 2013-07-31
Refresh Date 2013-11-06

Office Location

Street Address 165 PEPPERIDGE CIR
City FAIRFIELD
State CT
Zip Code 06824 3427

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Competitor

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City FAIRFIELD
Zip Code 06824
License Type Occupational Therapist
License Type + County Occupational Therapist + FAIRFIELD

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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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