ELIZABETH A BLAKE is a Connecticut INDIVIDUAL with a lincese. The license credential category is Occupational Therapist. The current license status is INACTIVE. The registered address is 38 KAY ST., Springfield, MA, 01109.
Credential ID | 775693 |
Credential Code | 48.002859 |
Category | Occupational Therapist |
License Type | INDIVIDUAL |
License Number | 2859 |
Status | INACTIVE |
Status Reason | LAPSED DUE TO NON-RENEWAL |
License Issue Date | 2002-11-22 |
License Effective Date | 2007-08-30 |
License Expiration Date | 2009-07-31 |
Address | 38 KAY ST. |
City | Springfield |
State | MA |
Zip Code | 01109 |
Country |
Name | Type | Address |
---|---|---|
LORELEI BATCHELDER | Occupational Therapist | SPRINGFIELD, 011091331, MA |
TANYA O'NEIL | Occupational Therapist | SPRINGFIELD, 011092924, MA |
KIMBERLY A COGMAN | Occupational Therapist | SPRINGFIELD, 01109, MA |
ELIZABETH A BLAKE | Occupational Therapist | Springfield, 01109, MA |
Connecticut Business Licenses and Credentials recorded in Connecticut's eLicensing system.
The data displayed on this page is based on Connecticut State Licenses and Credentials Dataset. More information on the dataset is available here.
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