NICOLE T DESANTIS
Occupational Therapist Assistant


Address: 18 S Brookside Ave, North Providence, RI 02911-1815

NICOLE T DESANTIS (Credential# 1308720) is licensed (Occupational Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2017. The license expiration date date is July 31, 2019. The license status is INACTIVE.

Business Overview

NICOLE T DESANTIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #49.001660. The credential type is occupational therapist assistant. The effective date is August 1, 2017. The expiration date is July 31, 2019. The business address is 18 S Brookside Ave, North Providence, RI 02911-1815. The current status is inactive.

Basic Information

Licensee Name NICOLE T DESANTIS
Credential ID 1308720
Credential Number 49.001660
Credential Type Occupational Therapist Assistant
Business Address 18 S Brookside Ave
North Providence
RI 02911-1815
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2015-12-03
Effective Date 2017-08-01
Expiration Date 2019-07-31
Refresh Date 2019-11-03

Office Location

Street Address 18 S BROOKSIDE AVE
City NORTH PROVIDENCE
State RI
Zip Code 02911-1815

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Mi Sun Russo · Mi Sun Choi 1776 Bicennial Way J5, North Providence, RI 02911 Massage Therapist 2020-08-01 ~ 2022-07-31
Larissa Gokey 1776 Bicentennial Way, North Providence, RI 02911 Registered Nurse 2018-12-04 ~ 2019-12-31
Rebecca Brabec 184 Woonasquatucket Ave, North Providence, RI 02911 Registered Nurse 2020-06-01 ~ 2021-05-31
Melissa Marie Perrille · Premier Realty Group 1599 Smith St, North Providence, RI 02911 Real Estate Broker 2020-04-01 ~ 2021-03-31
Anna Baker 112 Cottage Ave, North Providence, RI 02911 Veterinarian 2020-03-01 ~ 2021-02-28
Phuoc H Tran 6 Elmore St, North Providence, RI 02911 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Charlotte Marie Coletta 56 Bel Air Dr, Providence, RI 02911 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Jamie N Tran 6 Elmore Avenue, North Providence, RI 02911 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Louis Dante Lanni 48 Joslin Street, North Providence, RI 02911 Casino Class I Employee 2020-01-10 ~ 2020-10-31
Katherine M Kmon 584 Fruit Hill Avenue, North Providence, RI 02911 Casino Class I Employee 2019-12-11 ~ 2020-10-31
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Competitor

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City NORTH PROVIDENCE
Zip Code 02911
License Type Occupational Therapist Assistant
License Type + County Occupational Therapist Assistant + NORTH PROVIDENCE

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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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