RUSSELL D WESTERHOLM
Occupational Therapist Assistant


Address: Po Box 3554, Danbury, CT 06813-3554

RUSSELL D WESTERHOLM (Credential# 1122396) is licensed (Occupational Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2015. The license expiration date date is July 31, 2017. The license status is INACTIVE.

Business Overview

RUSSELL D WESTERHOLM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #49.001330. The credential type is occupational therapist assistant. The effective date is August 1, 2015. The expiration date is July 31, 2017. The business address is Po Box 3554, Danbury, CT 06813-3554. The current status is inactive.

Basic Information

Licensee Name RUSSELL D WESTERHOLM
Credential ID 1122396
Credential Number 49.001330
Credential Type Occupational Therapist Assistant
Business Address Po Box 3554
Danbury
CT 06813-3554
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-09-19
Effective Date 2015-08-01
Expiration Date 2017-07-31
Refresh Date 2017-11-03

Office Location

Street Address PO BOX 3554
City DANBURY
State CT
Zip Code 06813-3554

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Competitor

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City DANBURY
Zip Code 06813
License Type Occupational Therapist Assistant
License Type + County Occupational Therapist Assistant + DANBURY

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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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