CAROL M PEZZULLO
SANDOVAL


Address: 112 Clarks Falls Rd, Ashaway, RI 02804-1207

CAROL M PEZZULLO (Credential# 776936) is licensed (Occupational Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2015. The license expiration date date is July 31, 2017. The license status is PENDING.

Business Overview

CAROL M PEZZULLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #49.000623. The credential type is occupational therapist assistant. The effective date is August 1, 2015. The expiration date is July 31, 2017. The business address is 112 Clarks Falls Rd, Ashaway, RI 02804-1207. The current status is pending.

Basic Information

Licensee Name CAROL M PEZZULLO
Doing Business As SANDOVAL
Credential ID 776936
Credential Number 49.000623
Credential Type Occupational Therapist Assistant
Business Address 112 Clarks Falls Rd
Ashaway
RI 02804-1207
Business Type INDIVIDUAL
Status PENDING - REINSTATEMENT APPLICATION PENDING
Issue Date 1998-05-15
Effective Date 2015-08-01
Expiration Date 2017-07-31
Refresh Date 2018-05-18

Office Location

Street Address 112 CLARKS FALLS RD
City ASHAWAY
State RI
Zip Code 02804-1207

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Sara Beth Connell 355 Woodville Rd, Ashaway, RI 02804 Registered Nurse 2020-07-01 ~ 2021-06-30
Judith M Capalbo 16 South Drive, Ashaway, RI 02804 Licensed Practical Nurse 2020-05-01 ~ 2021-04-30
Lisa M Menard-manlove 5 Cherry Drive, Ashaway, RI 02804 Physician/surgeon 2020-06-01 ~ 2021-05-31
Nicholas Fizzano 10b Crandall Lane, Ashaway, RI 02804 Backflow Prevention Device Tester 2017-09-08 ~ 2020-12-31
Kimberly Rees P O Box 2, Ashaway, RI 02804 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Jeffrey B Champlin 1 South Dr, Ashaway, RI 02804 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Stacy A Reagan 5 Clay St., Ashaway, RI 02804 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Steven J Shilling 85 Oak St., Ashaway, RI 02804 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Bernard W Frisbee 10 South Dr, Ashaway, RI 02804 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Ryan Patrick O'leary 19 South Dr, Ashaway, RI 02804 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Find all Licenses in zip 02804

Competitor

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City ASHAWAY
Zip Code 02804
License Type Occupational Therapist Assistant
License Type + County Occupational Therapist Assistant + ASHAWAY

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Carol D Fritz 34 Ledgewood Drive, Glastonbury, CT 06033 Occupational Therapist Assistant 2001-09-24 ~ 2003-07-31
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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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