DONNA L BRISTOL-GOEBEN (Credential# 776528) is licensed (Occupational Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2017. The license expiration date date is July 31, 2019. The license status is INACTIVE.
DONNA L BRISTOL-GOEBEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #49.000211. The credential type is occupational therapist assistant. The effective date is August 1, 2017. The expiration date is July 31, 2019. The business address is 62 Torrington Ave, Canton, CT 06019. The current status is inactive.
| Licensee Name | DONNA L BRISTOL-GOEBEN |
| Credential ID | 776528 |
| Credential Number | 49.000211 |
| Credential Type | Occupational Therapist Assistant |
| Business Address |
62 Torrington Ave Canton CT 06019 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1990-02-16 |
| Effective Date | 2017-08-01 |
| Expiration Date | 2019-07-31 |
| Refresh Date | 2019-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 854250 | 70.830641 | Emergency Medical Technician | 1955-05-05 | - 1998-10-01 | INACTIVE |
| 875481 | 71.859999 | Advanced Emergency Medical Technician | 1985-10-01 | - 1986-10-01 | INACTIVE |
| Street Address | 62 TORRINGTON AVE |
| City | Canton |
| State | CT |
| Zip Code | 06019 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurie E Dunford | 483 Dowd Ave., Canton, CT 06019 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Christine M Jencik | 71 Cherrybrook Road, Canton, CT 06019 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Marie B Valley | P.o. Box 284, Canton, CT 06019 | Dental Hygienist | 2020-07-01 ~ 2021-06-30 |
| Stephen S Burgess | 275 Barbourtown Rd, Canton, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Lenore Quintal-bean | 26 North St, Collinsville, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Aubrey J Hoyt | 82 Lovely Street, Canton, CT 06019 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Julie Reed | 41 Wickhams Fancy, Collinsville, CT 06019 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Sylvia Dibiasi | 93 Cherry Brook Road, Canton, CT 06019 | Physical Therapist | 2020-08-01 ~ 2021-07-31 |
| Nora Baumgart | 60 Cherry Brook Rd, Canton, CT 06019 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Donald Tarinelli | 4 Center St, Collinsville, CT 06019 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06019 | |||
| City | Canton |
| Zip Code | 06019 |
| License Type | Occupational Therapist Assistant |
| License Type + County | Occupational Therapist Assistant + Canton |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Donna L Clarke | 72 Birchwood Rd, Windsor, CT 06095-1001 | Occupational Therapist Assistant | 1999-07-28 ~ 2001-07-31 |
| Donna R Edgarton | 41 Loveland Hill Rd, Vernon, CT 06066 | Occupational Therapist Assistant | 2009-06-17 ~ 2011-07-31 |
| Donna L Kostruba | 3 Meadowbrook Road, Granby, CT 06035 | Occupational Therapist Assistant | 1999-06-02 ~ 2001-07-31 |
| Donna A Pitek | 861 Mountain Rd, West Hartford, CT 06117-1145 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Donna M Carta | 104 Mapleridge Drive, Waterbury, CT 06705 | Occupational Therapist Assistant | 2017-08-01 ~ 2019-07-31 |
| Donna C Jewett | 67 Murphy Dr, Rocky Hill, CT 06067-1865 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Donna A Gollenberg | 115 Pondview Drive, Southington, CT 06489 | Occupational Therapist Assistant | 2001-07-12 ~ 2003-07-31 |
| Donna M Allard | 10 Benjamin Way, South Windsor, CT 06074 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Donna A Kelly | 15 Blue Heron Drive, Dudley, MA 01571 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Donna K Wachholz | 4195 Indian Lane, North Garden, VA 22959 | Occupational Therapist Assistant | 1999-07-06 ~ 2001-07-31 |
Please comment or provide details below to improve the information on DONNA L BRISTOL-GOEBEN.
| 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).