KAREN A GUSTAFSON (Credential# 776644) is licensed (Occupational Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 9, 1997. The license expiration date date is July 31, 1999. The license status is INACTIVE.
KAREN A GUSTAFSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #49.000328. The credential type is occupational therapist assistant. The effective date is June 9, 1997. The expiration date is July 31, 1999. The business address is 51 Alice Drive, Coventry, CT 06238. The current status is inactive.
Licensee Name | KAREN A GUSTAFSON |
Credential ID | 776644 |
Credential Number | 49.000328 |
Credential Type | Occupational Therapist Assistant |
Business Address |
51 Alice Drive Coventry CT 06238 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 1994-04-15 |
Effective Date | 1997-06-09 |
Expiration Date | 1999-07-31 |
Refresh Date | 2009-07-08 |
Street Address | 51 ALICE DRIVE |
City | COVENTRY |
State | CT |
Zip Code | 06238 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lisa M Gustafson | 51 Alice Drive, Coventry, CT 06238 | Notary Public Appointment | 2016-08-01 ~ 2021-07-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Parul S Shah · Bidwell Spirit Shoppe | 1220 Main St, Coventry, CT 06238 | Package Store Liquor | 2020-08-02 ~ 2021-08-01 |
Mary A Manton | 28 Armstrong Rd Unit B-9, Coventry, CT 06238 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Barbara J Dillon | 93 Alice Drive, Coventry, CT 06238 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
Cody Adam Kirschbaum | 83 Daly Rd, Coventry, CT 06238 | Emergency Medical Technician | ~ |
Stephanie A Simmons | 878 Silver St, Coventry, CT 06238 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
Mellissa U Carroll | 349 Ripley Hill Rd, Coventry, CT 06238 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Kristin D'alfonso | 43 Windy Hill Road, Coventry, CT 06238 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Dawn Trudeau | 46 Flanders River Road, Coventry, CT 06238 | Medication Administration Certification | 2020-06-28 ~ 2022-06-27 |
Bryan Trudel | 3505 South St., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
Christopher Dean | 545 Flanders Rd., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
Find all Licenses in zip 06238 |
City | COVENTRY |
Zip Code | 06238 |
License Type | Occupational Therapist Assistant |
License Type + County | Occupational Therapist Assistant + COVENTRY |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Karen Roy | 35 Winthrop St, Bristol, CT 06010 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Karen M Bencivengo | 5 Cypress Way, Niantic, CT 06357-1806 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Karen Casey | 560 Sylvan Ave, Waterbury, CT 06706-1944 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Karen Smith | 23 Riverside Dr Apt A11, Clinton, CT 06413-2615 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Karen A Checovetes | 15 Maple St 2nd Fl, Plainville, CT 06062 | Occupational Therapist Assistant | 1991-07-25 ~ 1993-07-31 |
Karen Bergenholtz | 48 Fowler Ave., Durham, CT 06422 | Occupational Therapist Assistant | 2015-08-01 ~ 2017-07-31 |
Karen E Germain | 25 Roland Street, Enfield, CT 06082 | Occupational Therapist Assistant | 1999-06-28 ~ 2001-07-31 |
Karen B Bruening | 85 Teeter Rock Rd, Trumbull, CT 06611-5023 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Karen M Kibby | 58 Brewster Road, Enfield, CT 06082 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Karen L St Pierre | 265 East Woodland Street, Meriden, CT 06451 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
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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).