NICOLE E FORMAN (Credential# 1375638) is licensed (Occupational Therapist Assistant) with Connecticut Department of Consumer Protection. The license status is PENDING.
NICOLE E FORMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #49. The credential type is occupational therapist assistant. The business address is 10 Ridge Rd, East Greenwich, RI 02818-1717. The current status is pending.
| Licensee Name | NICOLE E FORMAN |
| Credential ID | 1375638 |
| Credential Number | 49 |
| Credential Type | Occupational Therapist Assistant |
| Business Address |
10 Ridge Rd East Greenwich RI 02818-1717 |
| Business Type | INDIVIDUAL |
| Status | PENDING - APPLICATION PENDING |
| Refresh Date | 2016-08-25 |
| Street Address | 10 RIDGE RD |
| City | EAST GREENWICH |
| State | RI |
| Zip Code | 02818-1717 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Laurie J Laverty | 1993 Middle Rd, East Greenwich, RI 02818 | Registered Nurse | ~ |
| Valerie L Stadnik | 85 Collins Ave, Warwick, RI 02818 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Steven B Prudhomme | 184 So Pierce Rd, East Greenwich, RI 02818 | Home Inspector | 2017-07-01 ~ 2019-06-30 |
| Hanns Christoph Stretz | 17 Chace Street, East Greenwich, RI 02818 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elisabeth Farnum | 98 Overhill Road, East Greenwich, RI 02818 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| David Candow Md | 1 Juniper Dr, East Greenwich, RI 02818 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Katherine Nicastri · Chrostowski | 25 Bow St, East Greenwich, RI 02818 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Pedro Franco Tactacan | 1995 Division Rd, East Greenwich, RI 02818 | Physician/surgeon | ~ |
| Andrew Leonard | 230 Cooper Lane, East Greenwich, RI 02818 | Hoisting Equipment Operator | ~ |
| James A Rosenman | 130 River Farm Dr, East Greenwich, RI 02818 | Nursing Home Administrator | 2020-02-01 ~ 2022-01-31 |
| Find all Licenses in zip 02818 | |||
| City | EAST GREENWICH |
| Zip Code | 02818 |
| License Type | Occupational Therapist Assistant |
| License Type + County | Occupational Therapist Assistant + EAST GREENWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Y Holmes | 85 Canterbury St, Hartford, CT 06112-1823 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Nicole A Newhouse | 104 Battle St, Somers, CT 06071-1629 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Nicole B Morey | 179 Dockerel Rd, Tolland, CT 06084-3617 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Nicole M Devona | 98 Erin Dr, Plainfield, CT 06374-1755 | Occupational Therapist Assistant | 2013-08-01 ~ 2015-07-31 |
| Nicole L Ibrahim | 20 Twin Walls Ln, Weston, CT 06883-3038 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Nicole T Desantis | 18 S Brookside Ave, North Providence, RI 02911-1815 | Occupational Therapist Assistant | 2017-08-01 ~ 2019-07-31 |
| Nicole Rose Couto | 16 Ells St, Ansonia, CT 06401-3009 | Occupational Therapist Assistant | 2019-07-30 ~ 2021-07-31 |
| Nicole Suzanne Nicolosi | 27 Canterbury Drive, Bradford, RI 02808 | Occupational Therapist Assistant | 2018-04-05 ~ 2019-07-31 |
| Kendra Nicole Whitford | 220 North Goshen Road, Goshen, CT 06756 | Occupational Therapist Assistant | 2020-01-28 ~ 2021-07-31 |
| Richard Forman · Forman Vineyard | 1501 Big Rock Rd, Saint Helena, CA 94574-9613 | Out of State Winery | 2015-04-01 ~ 2016-03-31 |
Please comment or provide details below to improve the information on NICOLE E FORMAN.
| 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).