KIMBERLY D BOULLARD-BACKUNAS
Occupational Therapist


Address: 9-1 Tuck Farm Road, Auburn, MA 01501-2455

KIMBERLY D BOULLARD-BACKUNAS (Credential# 774320) is licensed (Occupational Therapist) with Connecticut Department of Consumer Protection. The license effective date is July 2, 2007. The license expiration date date is July 31, 2009. The license status is INACTIVE.

Business Overview

KIMBERLY D BOULLARD-BACKUNAS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.001480. The credential type is occupational therapist. The effective date is July 2, 2007. The expiration date is July 31, 2009. The business address is 9-1 Tuck Farm Road, Auburn, MA 01501-2455. The current status is inactive.

Basic Information

Licensee Name KIMBERLY D BOULLARD-BACKUNAS
Credential ID 774320
Credential Number 48.001480
Credential Type Occupational Therapist
Business Address 9-1 Tuck Farm Road
Auburn
MA 01501-2455
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-07-28
Effective Date 2007-07-02
Expiration Date 2009-07-31
Refresh Date 2010-01-08

Office Location

Street Address 9-1 TUCK FARM ROAD
City AUBURN
State MA
Zip Code 01501-2455

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Paul V Rice Jr 80 Jerome Ave, Auburn, MA 01501 Professional Engineer 2020-02-01 ~ 2021-01-31
Midpoint Engineering + Consulting LLC 826 Southbridge Street, Auburn, MA 01501 Professional Engineering Corporation 2020-01-13 ~ 2021-01-12
Kevin R Seaman 263 South St, Auburn, MA 01501 Professional Engineer 2020-02-01 ~ 2021-01-31
Katherine E Kelley 7 Coolidge St, Auburn, MA 01501 Pharmacist 2020-02-01 ~ 2022-01-31
Scott David Henderson 7 Hilltop Farm Rd, Auburn, MA 01501 Professional Engineer 2020-02-01 ~ 2021-01-31
Jennifer Renee Barnes 20 June Street, Auburn, MA 01501 Notary Public Appointment 2017-03-01 ~ 2022-02-28
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Competitor

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City AUBURN
Zip Code 01501
License Type Occupational Therapist
License Type + County Occupational Therapist + AUBURN

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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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