DERRICK O TUMBLIN
Lottery Or Otb Service Provider Employee


Address: 1825 Parker Rd Se, Conyers, GA 30094-2603

DERRICK O TUMBLIN (Credential# 1305428) is licensed (Lottery Or Otb Service Provider Employee) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2016. The license expiration date date is December 31, 2016. The license status is INACTIVE.

Business Overview

DERRICK O TUMBLIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #OCCE.022749.LOT. The credential type is lottery or otb service provider employee. The effective date is January 1, 2016. The expiration date is December 31, 2016. The business address is 1825 Parker Rd Se, Conyers, GA 30094-2603. The current status is inactive.

Basic Information

Licensee Name DERRICK O TUMBLIN
Credential ID 1305428
Credential Number OCCE.022749.LOT
Credential Type LOTTERY OR OTB SERVICE PROVIDER EMPLOYEE
Business Address 1825 Parker Rd Se
Conyers
GA 30094-2603
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2015-08-19
Effective Date 2016-01-01
Expiration Date 2016-12-31
Refresh Date 2017-05-02

Office Location

Street Address 1825 PARKER RD SE
City CONYERS
State GA
Zip Code 30094-2603

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Dinah Hope Moore 653 Honey Creek Rd S.e., Conyers, GA 30094 Registered Nurse 2019-04-01 ~ 2020-03-31
Kevin L Joost 5058 Kurt Lane, Conyers, GA 30094 Elevator Unlimited Contractor ~
Angella E Smith Md 2221 Morning Dew Sw, Conyers, GA 30094 Controlled Substance Registration for Practitioner 2009-03-18 ~ 2011-02-28
Dorothea Y Bailey-butts 522 Trotters Lane, Conyers, GA 30094 Registered Nurse 2008-09-19 ~ 2009-08-31
John D Soileau 2284 Klondike Rd, Conyers, GA 30094 Naturopathic Physician 2000-04-04 ~ 2001-03-31
Dorothy A Mcqueen 5096 West Shore Drive, Conyers, GA 30094 Registered Nurse 2002-07-02 ~ 2003-07-31
Richard R Stanulis 2041 Lost Meadow Lane, Conyers, GA 30094 Plumbing & Piping Unlimited Contractor 2005-11-01 ~ 2006-10-31
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Competitor

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City CONYERS
Zip Code 30094
License Type LOTTERY OR OTB SERVICE PROVIDER EMPLOYEE
License Type + County LOTTERY OR OTB SERVICE PROVIDER EMPLOYEE + CONYERS

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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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