JANET L PROVENCAL
Optometrist


Address: 6508 Clayton Ave, St Louis, MO 63139

JANET L PROVENCAL (Credential# 763057) is licensed (Optometrist) with Connecticut Department of Consumer Protection. The license effective date is December 6, 1999. The license expiration date date is January 31, 2001. The license status is INACTIVE.

Business Overview

JANET L PROVENCAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #3.002429. The credential type is optometrist. The effective date is December 6, 1999. The expiration date is January 31, 2001. The business address is 6508 Clayton Ave, St Louis, MO 63139. The current status is inactive.

Basic Information

Licensee Name JANET L PROVENCAL
Credential ID 763057
Credential Number 3.002429
Credential Type Optometrist
Business Address 6508 Clayton Ave
St Louis
MO 63139
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-09-13
Effective Date 1999-12-06
Expiration Date 2001-01-31
Refresh Date 2009-07-08

Other locations

Licensee Name Office Address Credential Effective / Expiration
Janet L Provencal 25 Bittersweet Dr, Gales Ferry, CT 06335 Pharmacist 2010-02-01 ~ 2011-01-31

Office Location

Street Address 6508 CLAYTON AVE
City ST LOUIS
State MO
Zip Code 63139

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Denise K Neveau 1127 Childress Ave., St. Louis, MO 63139 Physical Therapist 2009-02-24 ~ 2010-02-28
Linda Bradshaw 2617 S. Kingshighway, St Louis, MO 63139 Licensed Practical Nurse 2003-02-03 ~ 2003-04-30
Catherine E Leonard 3118 Park Hampton Ct, St Louis, MO 63139 Registered Nurse 2007-05-01 ~ 2007-11-30
C Rallo Contracting Co Inc 5000 Kemper Ave, St Louis, MO 63139 Major Contractor ~
Anthony Ogden 4940 Odell St # A, Saint Louis, MO 63139-1010 Radiographer 2019-11-07 ~ 2020-09-30
Luxco Inc 5050 Kemper Ave, Saint Louis, MO 63139-1106 Out of State Shipper Liquor 2019-10-07 ~ 2020-10-06
Osama S Fares 5362 Odell St, Saint Louis, MO 63139-1415 Professional Engineer 2020-02-01 ~ 2021-01-31
Christine E. Joshi 5444 Pernod Ave, Saint Louis, MO 63139-1559 Registered Nurse 2012-01-20 ~ 2012-06-30
Tiatussa M Rees 3467 Macklind Ave, Saint Louis, MO 63139-1562 Registered Nurse 2016-04-06 ~ 2017-04-30
Gretchen R Clauser 3266 Jasper Park, Saint Louis, MO 63139-1709 Licensed Clinical Social Worker 2015-11-01 ~ 2016-10-31
Find all Licenses in zip 63139

Competitor

Search similar business entities

City ST LOUIS
Zip Code 63139
License Type Optometrist
License Type + County Optometrist + ST LOUIS

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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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