RENEE ADELE BLAISE
Physical Therapist Assistant


Address: 81 Allencrest Dr, Stratford, CT 06614-2153

RENEE ADELE BLAISE (Credential# 947743) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2017. The license expiration date date is May 31, 2018. The license status is INACTIVE.

Business Overview

RENEE ADELE BLAISE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001123. The credential type is physical therapist assistant. The effective date is June 1, 2017. The expiration date is May 31, 2018. The business address is 81 Allencrest Dr, Stratford, CT 06614-2153. The current status is inactive.

Basic Information

Licensee Name RENEE ADELE BLAISE
Credential ID 947743
Credential Number 63.001123
Credential Type Physical Therapist Assistant
Business Address 81 Allencrest Dr
Stratford
CT 06614-2153
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-08-17
Effective Date 2017-06-01
Expiration Date 2018-05-31
Refresh Date 2018-09-03

Office Location

Street Address 81 ALLENCREST DR
City STRATFORD
State CT
Zip Code 06614-2153

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Kimberly A Stewart 81 Allencrest Dr, Stratford, CT 06614-2153 Occupational Therapist 2019-08-01 ~ 2021-07-31
Robert S Royal 81 Allencrest Dr, Stratford, CT 06947 Heating, Piping & Cooling Unlimited Contractor ~

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Mark A Lazar 51 Allencrest Drive, Stratford, CT 06614-2153 Notary Public Appointment 2001-05-01 ~ 2006-04-30

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Courtney M Blaze 90 Mercer Street, Stratford, CT 06614 Massage Therapist 2020-07-01 ~ 2022-06-30
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Demetrius I Mcqueen 60 Emerald Pl, Stratford, CT 06614 Real Estate Salesperson 2020-06-26 ~ 2021-05-31
Alan Goldberg 1825 Barnum Ave, Stratford, CT 06614 Dentist 2020-09-01 ~ 2021-08-31
Kimberly L Matakevich 1367 Nichols Avenue, Stratford, CT 06614 Licensed Practical Nurse 2020-09-01 ~ 2021-08-31
Marybeth Nemergut 990 Chapel St, Stratford, CT 06614 Registered Nurse 2020-08-01 ~ 2021-07-31
Geraldine C Corry 135 Wigwam Lane, Stratford, CT 06614 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
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Competitor

Search similar business entities

City STRATFORD
Zip Code 06614
License Type Physical Therapist Assistant
License Type + County Physical Therapist Assistant + STRATFORD

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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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