DESIRAE R TABOR BANNISTER
Massage Therapist


Address: 210 Pine St Apt 297, Manchester, CT 06040

DESIRAE R TABOR BANNISTER (Credential# 1257969) is licensed (Massage Therapist) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2018. The license expiration date date is October 31, 2020. The license status is ACTIVE.

Business Overview

DESIRAE R TABOR BANNISTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #29.008402. The credential type is massage therapist. The effective date is November 1, 2018. The expiration date is October 31, 2020. The business address is 210 Pine St Apt 297, Manchester, CT 06040. The current status is active.

Basic Information

Licensee Name DESIRAE R TABOR BANNISTER
Credential ID 1257969
Credential Number 29.008402
Credential Type Massage Therapist
Business Address 210 Pine St Apt 297
Manchester
CT 06040
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2014-12-24
Effective Date 2018-11-01
Expiration Date 2020-10-31
Refresh Date 2019-02-01

Office Location

Street Address 210 PINE ST APT 297
City MANCHESTER
State CT
Zip Code 06040

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Erin C Boyle 470 Porter Street, Manchester, CT 06040 Registered Nurse 2020-07-01 ~ 2021-06-30
Dejone Mitchell 64 Ruby Dr Apt. P, Manchester, CT 06040 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Andrea H Clifford 116 Longview Drive, Manchester, CT 06040 Licensed Practical Nurse 2020-09-01 ~ 2021-08-31
Tabia Thornton-bey 103 Walek Farms Road, Manchester, CT 06040 Licensed Clinical Social Worker 2020-07-01 ~ 2021-06-30
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Competitor

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City MANCHESTER
Zip Code 06040
License Type Massage Therapist
License Type + County Massage Therapist + MANCHESTER

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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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