LINDA R BLAKE
Occupational Therapist


Address: 9 Matson Ridge, Old Lyme, CT 06371

LINDA R BLAKE (Credential# 773214) is licensed (Occupational Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2015. The license expiration date date is July 31, 2017. The license status is INACTIVE.

Business Overview

LINDA R BLAKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.000102. The credential type is occupational therapist. The effective date is August 1, 2015. The expiration date is July 31, 2017. The business address is 9 Matson Ridge, Old Lyme, CT 06371. The current status is inactive.

Basic Information

Licensee Name LINDA R BLAKE
Credential ID 773214
Credential Number 48.000102
Credential Type Occupational Therapist
Business Address 9 Matson Ridge
Old Lyme
CT 06371
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1979-10-04
Effective Date 2015-08-01
Expiration Date 2017-07-31
Refresh Date 2017-11-03

Office Location

Street Address 9 MATSON RIDGE
City OLD LYME
State CT
Zip Code 06371

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E Russell Learned 82 Norwich-salem Rd, Lyme, CT 06371 Architect 2020-08-01 ~ 2021-07-31
Joann M Reis 75 Swan Ave, Old Lyme, CT 06371 Registered Nurse 2020-09-01 ~ 2021-08-31
Michele K Griswold 7 Osprey Road, Old Lyme, CT 06371 Registered Nurse 2020-07-01 ~ 2021-06-30
Brenda A Moriarty 53 Brown's Lane, Old Lyme, CT 06371 Registered Nurse 2020-07-01 ~ 2021-06-30
Olaf J Ogland 17 Jericho Drive, Old Lyme, CT 06371 Physician/surgeon 2020-08-01 ~ 2021-07-31
Anne Burns 60 Saltaire Drive, Old Lyme, CT 06371 Registered Nurse 2020-08-01 ~ 2021-07-31
Lori A Volles 67 Sterling Hill Rd, Lyme, CT 06371 Physician/surgeon 2020-07-01 ~ 2021-06-30
Derek J Lachance 7 Sunset Drive, Old Lyme, CT 06371 Registered Nurse 2020-07-01 ~ 2021-06-30
Vincenzo Jerome Marafito 14-1 Bailey Rd, Old Lyme, CT 06371 Master's Level Social Worker ~
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Competitor

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City OLD LYME
Zip Code 06371
License Type Occupational Therapist
License Type + County Occupational Therapist + OLD LYME

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Walter E Blake 50 Fairfield Rd., West Hartford, CT 06117 Occupational Therapist 2013-08-01 ~ 2015-07-31
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Andrea C Blake 50 Forest St Apt 711, Stamford, CT 06901-1867 Occupational Therapist Assistant 2017-08-01 ~ 2019-07-31
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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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