TANYA S BLOOM
Optometrist


Address: 510 E Seneca St Apt 2, Ithaca, NY 14850

TANYA S BLOOM (Credential# 1427381) is licensed (Optometrist) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

TANYA S BLOOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #3.003039. The credential type is optometrist. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 510 E Seneca St Apt 2, Ithaca, NY 14850. The current status is active.

Basic Information

Licensee Name TANYA S BLOOM
Credential ID 1427381
Credential Number 3.003039
Credential Type Optometrist
Business Address 510 E Seneca St Apt 2
Ithaca
NY 14850
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-06-29
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-01-28

Other licenses

ID Credential Code Credential Type Issue Term Status
1434973 CSP.0066109 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-07-01 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 510 E Seneca St Apt 2
City Ithaca
State NY
Zip Code 14850

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Competitor

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City Ithaca
Zip Code 14850
License Type Optometrist
License Type + County Optometrist + Ithaca

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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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