ADELE BONGOLL
Occupational Therapist Assistant


Address: 52 Wheeler Village Drive, Southington, CT 06489

ADELE BONGOLL (Credential# 969273) is licensed (Occupational Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2011. The license expiration date date is July 31, 2013. The license status is INACTIVE.

Business Overview

ADELE BONGOLL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #49.001199. The credential type is occupational therapist assistant. The effective date is August 1, 2011. The expiration date is July 31, 2013. The business address is 52 Wheeler Village Drive, Southington, CT 06489. The current status is inactive.

Basic Information

Licensee Name ADELE BONGOLL
Credential ID 969273
Credential Number 49.001199
Credential Type Occupational Therapist Assistant
Business Address 52 Wheeler Village Drive
Southington
CT 06489
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-10-04
Effective Date 2011-08-01
Expiration Date 2013-07-31
Refresh Date 2013-11-06

Office Location

Street Address 52 WHEELER VILLAGE DRIVE
City SOUTHINGTON
State CT
Zip Code 06489

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Joanna Milewski 23 Stacy Cate Drive, Southington, CT 06489 Registered Nurse 2020-07-01 ~ 2021-06-30
Richard M Testa 81 Winter Park Road, Southington, CT 06489 Massage Therapist 2020-08-01 ~ 2022-07-31
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Nicholas C Ingel 515 West Street, Southington, CT 06489 Heating, Piping & Cooling Limited Journeyperson 2020-06-23 ~ 2021-08-31
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Marilyn F Coppola 114 Spring Hill Rd, Southington, CT 06489 Registered Nurse 2020-08-01 ~ 2021-07-31
Christine M Liebler 30 Sultana Terrace, Southington, CT 06489 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City SOUTHINGTON
Zip Code 06489
License Type Occupational Therapist Assistant
License Type + County Occupational Therapist Assistant + SOUTHINGTON

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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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