STACEY A MCIVOR
Occupational Therapist


Address: 6 Logging Trail Ln, Brookfield, CT 06804

STACEY A MCIVOR (Credential# 1085073) is licensed (Occupational Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2021. The license status is ACTIVE.

Business Overview

STACEY A MCIVOR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.003957. The credential type is occupational therapist. The effective date is August 1, 2019. The expiration date is July 31, 2021. The business address is 6 Logging Trail Ln, Brookfield, CT 06804. The current status is active.

Basic Information

Licensee Name STACEY A MCIVOR
Credential ID 1085073
Credential Number 48.003957
Credential Type Occupational Therapist
Business Address 6 Logging Trail Ln
Brookfield
CT 06804
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2012-09-07
Effective Date 2019-08-01
Expiration Date 2021-07-31
Refresh Date 2019-07-01

Other licenses

ID Credential Code Credential Type Issue Term Status
1085074 48-TEMP Occupational Therapist Temporary Permit 2012-07-25 2012-07-25 - 2012-09-07 INACTIVE

Office Location

Street Address 6 Logging Trail Ln
City BROOKFIELD
State CT
Zip Code 06804

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Competitor

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City BROOKFIELD
Zip Code 06804
License Type Occupational Therapist
License Type + County Occupational Therapist + BROOKFIELD

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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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