KEITH R WASHINGTON
Occupational Therapist Assistant


Address: 49 Spruce Street, Smithtown, NY 11787

KEITH R WASHINGTON (Credential# 1403155) 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

KEITH R WASHINGTON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #49.001778. 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 49 Spruce Street, Smithtown, NY 11787. The current status is inactive.

Basic Information

Licensee Name KEITH R WASHINGTON
Credential ID 1403155
Credential Number 49.001778
Credential Type Occupational Therapist Assistant
Business Address 49 Spruce Street
Smithtown
NY 11787
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2017-03-29
Effective Date 2017-08-01
Expiration Date 2019-07-31
Refresh Date 2019-11-03

Office Location

Street Address 49 Spruce Street
City Smithtown
State NY
Zip Code 11787

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Megan Czuba 78 Bayberry La, Smithtown, NY 11787 Pharmacist 2020-02-01 ~ 2022-01-31
Jamie A Walegir 28 Villa Ln, Smithtown, NY 11787 Professional Engineer 2020-02-01 ~ 2021-01-31
Susan Cohen-pessah 6 Carriage House Rd, Smithtown, NY 11787 Pharmacist 2018-02-01 ~ 2020-01-31
Steven G Hanuszek 24 Dogwood Dr, Smithtown, NY 11787 Professional Engineer 2020-02-01 ~ 2021-01-31
Wayne T Culver 32 Oakside Rd, Smithtown, NY 11787 Professional Engineer 2020-02-01 ~ 2021-01-31
Sean P Cunningham 60 Avalon Circle, Smithtown, NY 11787 Professional Engineer 2020-02-01 ~ 2021-01-31
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Competitor

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City Smithtown
Zip Code 11787
License Type Occupational Therapist Assistant
License Type + County Occupational Therapist Assistant + Smithtown

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Lucinda J Nauiokas 34 Popple Swamp Rd, Washington Depot, CT 06794-1609 Occupational Therapist Assistant 2011-08-01 ~ 2013-07-31
Keith R Oko 129 Java St Apt 2, Brooklyn, NY 11222-1602 Occupational Therapist 2009-08-01 ~ 2011-07-31
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Kerrilee Keith 65 Prospect Street, Stamford, CT 06902 Occupational Therapist ~ 1999-07-31
Keith A Bishop 41 Barclay Street, Worcester, MA 01604 Occupational Therapist 2001-07-13 ~ 2003-07-31
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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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