TRACY S BRUNDAGE
Occupational Therapist


Address: 204 Kent Avenue, Suffield, CT 06078

TRACY S BRUNDAGE (Credential# 775560) is licensed (Occupational Therapist) with Connecticut Department of Consumer Protection. The license effective date is June 11, 2009. The license expiration date date is July 31, 2011. The license status is INACTIVE.

Business Overview

TRACY S BRUNDAGE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.002726. The credential type is occupational therapist. The effective date is June 11, 2009. The expiration date is July 31, 2011. The business address is 204 Kent Avenue, Suffield, CT 06078. The current status is inactive.

Basic Information

Licensee Name TRACY S BRUNDAGE
Credential ID 775560
Credential Number 48.002726
Credential Type Occupational Therapist
Business Address 204 Kent Avenue
Suffield
CT 06078
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2002-02-14
Effective Date 2009-06-11
Expiration Date 2011-07-31
Refresh Date 2011-11-07

Office Location

Street Address 204 Kent Avenue
City Suffield
State CT
Zip Code 06078

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Competitor

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City Suffield
Zip Code 06078
License Type Occupational Therapist
License Type + County Occupational Therapist + Suffield

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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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