STACEY M BENHAM
Occupational Therapist


Address: 643 Main St, Portland, CT 06480

STACEY M BENHAM (Credential# 774225) is licensed (Occupational Therapist) 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.

Business Overview

STACEY M BENHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.001385. The credential type is occupational therapist. The effective date is August 1, 2019. The expiration date is July 31, 2021. The business address is 643 Main St, Portland, CT 06480. The current status is active.

Basic Information

Licensee Name STACEY M BENHAM
Credential ID 774225
Credential Number 48.001385
Credential Type Occupational Therapist
Business Address 643 Main St
Portland
CT 06480
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1995-03-10
Effective Date 2019-08-01
Expiration Date 2021-07-31
Refresh Date 2019-08-02

Office Location

Street Address 643 MAIN ST
City PORTLAND
State CT
Zip Code 06480

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Kevin R Johnson 20 Mountain Laurel Way, Portland, CT 06480 Landscape Architect 2020-08-01 ~ 2021-07-31
Aaron A Adams 138 High Street, Portland, CT 06480 Licensed Practical Nurse 2020-06-01 ~ 2021-05-31
Amanda R. Weinberger 270 Main St. Suite A, Portland, CT 06480 Advanced Practice Registered Nurse 2020-08-01 ~ 2021-07-31
Karen L Cianci 3 Myrtle Rd, Portland, CT 06480 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Joseph Bials P.o. Box 546, Portland, CT 06480 Sub-surface Sewage Installer 2020-05-01 ~ 2021-04-30
Olivia Jane Briggs 6 Allen Street, Portland, CT 06480 Radiographer 2020-08-01 ~ 2021-07-31
Donna M Dubay 8 Penny Corner Road, Portland, CT 06480 Registered Nurse 2020-08-01 ~ 2021-07-31
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Competitor

Search similar business entities

City PORTLAND
Zip Code 06480
License Type Occupational Therapist
License Type + County Occupational Therapist + PORTLAND

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Stacey L Melillo 52 Windmill Hl, Wethersfield, CT 06109-2732 Occupational Therapist 2019-08-01 ~ 2021-07-31
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Stacey L Devito 50 Visconti Ave, Southington, CT 06489-3651 Occupational Therapist 2019-08-01 ~ 2021-07-31
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Stacey G Heenie 60 Wallace Row, Wallingford, CT 06492 Occupational Therapist Assistant 2019-08-01 ~ 2021-07-31
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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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