SAMUEL J QUINTANA
Occupational Therapist


Address: 24432 Horace Harding Expy, Douglaston, NY 11362-1910

SAMUEL J QUINTANA (Credential# 1083142) is licensed (Occupational Therapist) with Connecticut Department of Consumer Protection. The license effective date is July 17, 2012. The license expiration date date is July 31, 2013. The license status is INACTIVE.

Business Overview

SAMUEL J QUINTANA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.003934. The credential type is occupational therapist. The effective date is July 17, 2012. The expiration date is July 31, 2013. The business address is 24432 Horace Harding Expy, Douglaston, NY 11362-1910. The current status is inactive.

Basic Information

Licensee Name SAMUEL J QUINTANA
Credential ID 1083142
Credential Number 48.003934
Credential Type Occupational Therapist
Business Address 24432 Horace Harding Expy
Douglaston
NY 11362-1910
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-07-17
Effective Date 2012-07-17
Expiration Date 2013-07-31
Refresh Date 2014-07-24

Office Location

Street Address 24432 HORACE HARDING EXPY
City DOUGLASTON
State NY
Zip Code 11362-1910

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City DOUGLASTON
Zip Code 11362
License Type Occupational Therapist
License Type + County Occupational Therapist + DOUGLASTON

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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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