JACQUELINE A PROVOST
Respiratory Care Practitioner


Address: 12 Walker Way, North Scituate, RI 02857

JACQUELINE A PROVOST (Credential# 748596) is licensed (Respiratory Care Practitioner) with Connecticut Department of Consumer Protection. The license effective date is November 16, 2005. The license expiration date date is January 31, 2007. The license status is INACTIVE.

Business Overview

JACQUELINE A PROVOST is licensed with the Department of Consumer Protection of Connecticut. The credential number is #26.001678. The credential type is respiratory care practitioner. The effective date is November 16, 2005. The expiration date is January 31, 2007. The business address is 12 Walker Way, North Scituate, RI 02857. The current status is inactive.

Basic Information

Licensee Name JACQUELINE A PROVOST
Credential ID 748596
Credential Number 26.001678
Credential Type Respiratory Care Practitioner
Business Address 12 Walker Way
North Scituate
RI 02857
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-07-24
Effective Date 2005-11-16
Expiration Date 2007-01-31
Refresh Date 2009-07-08

Office Location

Street Address 12 Walker Way
City North Scituate
State RI
Zip Code 02857

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Laurie A Audet 865 Plainfield Pike, North Scituate, RI 02857 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Christopher E Osagie 23 Rocky Hill Rd, N. Scituate, RI 02857 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Bennie J Weidele 363 Huntinghouse Road, North Scituate, RI 02857 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Marissa Rose Mulcahey 144 Aldrich Road, North Scituate, RI 02857 Respiratory Care Practitioner ~
Ronald Fiske 3 Cook Dr., N. Scituate, RI 02857 Hoisting Equipment Operator 2020-01-19 ~ 2022-01-18
Judith Durham 62 Brandy Brook Rd, North Scituate, RI 02857 Radiographer 2020-05-01 ~ 2021-04-30
George G Palmisciano 80 Bungy Rd, N Scituate, RI 02857 Professional Engineer 2020-02-01 ~ 2021-01-31
Jennifer Morin 8 Dexter Saunders Rd, North Scituate, CT 02857 Medication Administration Certification 2017-12-25 ~ 2019-12-24
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Competitor

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City North Scituate
Zip Code 02857
License Type Respiratory Care Practitioner
License Type + County Respiratory Care Practitioner + North Scituate

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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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