ANDREA PENDERGAST (Credential# 1504868) is licensed (Occupational Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2021. The license status is ACTIVE.
ANDREA PENDERGAST is licensed with the Department of Consumer Protection of Connecticut. The credential number is #49.001897. The credential type is occupational therapist assistant. The effective date is August 1, 2019. The expiration date is July 31, 2021. The business address is 1175 Farmington Ave 4-215, Bristol, CT 06010. The current status is active.
| Licensee Name | ANDREA PENDERGAST |
| Credential ID | 1504868 |
| Credential Number | 49.001897 |
| Credential Type | Occupational Therapist Assistant |
| Business Address |
1175 Farmington Ave 4-215 Bristol CT 06010 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-04-20 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2019-06-03 |
| Street Address | 1175 Farmington Ave 4-215 |
| City | Bristol |
| State | CT |
| Zip Code | 06010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | Bristol |
| Zip Code | 06010 |
| License Type | Occupational Therapist Assistant |
| License Type + County | Occupational Therapist Assistant + Bristol |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Janelle R Pendergast-marr | 7 Wildwood Dr, Columbia, CT 06237-1544 | Occupational Therapist Assistant | 2011-08-01 ~ 2013-07-31 |
| Andrea M Cordis | 411 Soule Rd, Wilbraham, MA 01095-2432 | Occupational Therapist Assistant | 2007-06-08 ~ 2009-07-31 |
| Andrea R Iaconetti | 118 Crotona Ave, Harrison, NY 10528-2945 | Occupational Therapist Assistant | 2011-08-01 ~ 2013-07-31 |
| Andrea C Blake | 50 Forest St Apt 711, Stamford, CT 06901-1867 | Occupational Therapist Assistant | 2017-08-01 ~ 2019-07-31 |
| Andrea E Nocera | 489 Wolcott St, Bristol, CT 06010 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Andrea M Markure | 36 Donovan Rd, Naugatuck, CT 06770-3132 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Andrea L Blume | 5 Upland St E, Greenwich, CT 06831-4946 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Andrea T Lapenta | 4 Eleanor Drive, Vernon, CT 06066 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Andrea L Jabs · Thomas | 104 Uconn Drive, Bristol, CT 06010 | Occupational Therapist Assistant | 1999-06-24 ~ 2001-07-31 |
| Andrea Chesky · Osgood | 138 Cross Patch Road, Charlestown, RI 02813 | Occupational Therapist Assistant | 1997-08-01 ~ 1999-07-31 |
Please comment or provide details below to improve the information on ANDREA PENDERGAST.
| 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).