JACKE KHANTIVONG (Credential# 776214) is licensed (Occupational Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2009. The license expiration date date is July 31, 2011. The license status is INACTIVE.
JACKE KHANTIVONG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.003380. The credential type is occupational therapist. The effective date is August 1, 2009. The expiration date is July 31, 2011. The business address is 1247 S. Race Street, Denver, CO 80210. The current status is inactive.
Licensee Name | JACKE KHANTIVONG |
Credential ID | 776214 |
Credential Number | 48.003380 |
Credential Type | Occupational Therapist |
Business Address |
1247 S. Race Street Denver CO 80210 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2007-11-01 |
Effective Date | 2009-08-01 |
Expiration Date | 2011-07-31 |
Refresh Date | 2011-11-07 |
Street Address | 1247 S. RACE STREET |
City | DENVER |
State | CO |
Zip Code | 80210 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Margaret E Holmes | 2019 S Franklin St, Denver, CO 80210 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Brianna A Ayers | 2019 S. Franklin Street, Denver, CO 80210 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Friday Health Plans, Inc. | 525 East Mississippi Avenue, Denver, CO 80210 | Securities - Exemptions | 2020-02-18 ~ |
Ashlee E Moskwa | 1464 S Washington Street, Denver, CO 80210 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Zhe Yin | 3888 E Mexico Avenue, Denver, CO 80210 | Medical Marijuana Producer Employee | 2014-12-18 ~ 2015-12-18 |
Jill Lamoureux | 3888 Mexico Ave. #202, Denver, CO 80210 | Medical Marijuana Producer Employee | ~ |
Kenneth Roope | 3888 E. Mexico Ave. #202, Denver, CO 80210 | Medical Marijuana Producer Employee | 2014-11-26 ~ 2015-11-26 |
Erika A Deluca | 1595 S. Gaylord St., Denver, CO 80210 | Registered Nurse | 2012-08-13 ~ 2013-05-31 |
Susan L Nelson | 2150 S. Clayton Street, Denver, CO 80210 | Architect | 1999-08-06 ~ 2000-07-31 |
Joann Storer | 3041 S. University, Denver, CO 80210 | Registered Nurse | 2007-06-20 ~ 2007-11-30 |
Find all Licenses in zip 80210 |
City | DENVER |
Zip Code | 80210 |
License Type | Occupational Therapist |
License Type + County | Occupational Therapist + DENVER |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Patti Jean Jacke | 102 Fox Run Road, South Salem, NY 10590 | Speech and Language Pathologist | 2020-05-01 ~ 2021-04-30 |
Ruth Zaccaria | CT | Occupational Therapist | ~ |
Lauren E Gardner | 286 Cmr 457, Apo, AE 09033-0003 | Occupational Therapist | 2013-08-01 ~ 2015-07-31 |
Mei Y Eng | 166 Summit St, Norwich, CT 06360-6214 | Occupational Therapist | 2015-11-18 ~ 2017-07-31 |
Amy E Corcoran | P.o. Box 173, Pleasantville, NY 10570 | Occupational Therapist | 2003-08-01 ~ 2005-07-31 |
Bruce R Bergquist | Po Box 115, Granville, MA 01034-0115 | Occupational Therapist | ~ |
Haley J Plifka | Po Box 459, Winchester, NH 03470-0459 | Occupational Therapist | ~ |
Tia Beckman | P O Box 97, Narragansett, RI 02882 | Occupational Therapist | 1999-05-27 ~ 2001-07-31 |
Thomas Potenzo | Bronx, NY 10465 | Occupational Therapist | ~ |
Sylvia Rawlings | CT | Occupational Therapist | ~ 1991-07-31 |
Please comment or provide details below to improve the information on JACKE KHANTIVONG.
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).