JACK H BLOOM (Credential# 789058) is licensed (Psychologist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2014. The license expiration date date is September 30, 2015. The license status is INACTIVE.
JACK H BLOOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #8.000550. The credential type is psychologist. The effective date is October 1, 2014. The expiration date is September 30, 2015. The business address is 271 Sasapequan Rd, Fairfield, CT 06824-7206. The current status is inactive.
| Licensee Name | JACK H BLOOM |
| Credential ID | 789058 |
| Credential Number | 8.000550 |
| Credential Type | Psychologist |
| Business Address |
271 Sasapequan Rd Fairfield CT 06824-7206 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1975-06-19 |
| Effective Date | 2014-10-01 |
| Expiration Date | 2015-09-30 |
| Refresh Date | 2017-01-25 |
| Street Address | 271 SASAPEQUAN RD |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-7206 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Florence E O'brien | 235 Sasapequan Rd, Fairfield, CT 06824-7206 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy S Van Buren | 11 Larkspur Road, Fairfield, CT 06824 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Linda J Batchelder | 72 Ruane St, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Fairfield American Little League | 87 Charles St, Fairfield, CT 06824 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Robert D Sickeler | 175 Wakeman Rd, Fairfield, CT 06824 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael P Brennan | 338 Sturges Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Maria A Arduini | 499 Hemlock Rd, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Ryan L Antisdale | 104 Rhoda Avenue, Fairfield, CT 06824 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Szymlinska Eva Jucelin | 105 Churchill Street, Fairfield, CT 06824 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Afoofa, Inc · Afoofa | 298 South Benson Road, Fairfield, CT 06824 | Public Charity-exempt From Financial Requirements | 2020-06-25 ~ |
| Rachel Finlaw | 2546 North Benson Road, Fairfield, CT 06824 | Master's Level Social Worker | ~ |
| Find all Licenses in zip 06824 | |||
| City | FAIRFIELD |
| Zip Code | 06824 |
| License Type | Psychologist |
| License Type + County | Psychologist + FAIRFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rachel A Bloom | 53 Genesee Ln, Madison, CT 06443-8126 | Psychologist | 2020-03-01 ~ 2021-02-28 |
| Richard F Bloom | 35 Baron Drive, Lisbon, CT 06351 | Psychologist | 2019-11-01 ~ 2020-10-31 |
| Brenda Bloom · Bloom | 23 Nantucket Pl, Manhattan Beach, CA 90266-7230 | Dental Hygienist | 2002-09-30 ~ 2003-10-31 |
| Marjorie E Bloom · Bloom | 132 Beekman Drive, Agawam, MA 01001 | Licensed Clinical Social Worker | 2010-08-01 ~ 2011-07-31 |
| Jack I Esterson | 491 Griswold St, Glastonbury, CT 06033 | Psychologist | 2009-03-16 ~ 2010-05-31 |
| Jack Thaw | 36 Carriage Dr, Tolland, CT 06084 | Psychologist | 2020-05-01 ~ 2021-04-30 |
| Jack Werboff | 10 Llynwood Rd, Bolton, CT 06043 | Psychologist | 2008-03-04 ~ 2009-04-30 |
| Jack K Plummer | 2 West Ledge Rd, Glastonbury, CT 06033-3844 | Psychologist | 2013-10-01 ~ 2014-09-30 |
| Bloom Homes LLC | 84 Indian Trail, New Milford, CT 06776 | New Home Construction Contractor | 2001-10-01 ~ 2003-09-30 |
| Bloom | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2019-01-10 ~ 2022-01-09 |
Please comment or provide details below to improve the information on JACK H BLOOM.
| 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).