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.
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.
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 |
Street Address | 643 MAIN ST |
City | PORTLAND |
State | CT |
Zip Code | 06480 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Galladex Bd T85% I 9082 | 47 Lower Main St, Portland, CT 06480 | Medical Marijuana Producer Brand Registration | 2020-06-26 ~ |
Suzanne S O'rourke | 35 Apple Tree Lane, Portland, CT 06480 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
Gui Jiang | Sunny�s Nail&spa, Portland, CT 06480 | Nail Technician | 2020-06-26 ~ 2021-12-31 |
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 |
Find all Licenses in zip 06480 |
City | PORTLAND |
Zip Code | 06480 |
License Type | Occupational Therapist |
License Type + County | Occupational Therapist + PORTLAND |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Stacey B Fulton | 374 Browns Rd, Storrs, CT 06268-2805 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
Stacey Warren | 875 Townsend Ave, New Haven, CT 06512-1973 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
Stacey L Melillo | 52 Windmill Hl, Wethersfield, CT 06109-2732 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
Stacey I Gaudenzi | 5 Chinmoy Ln, New Milford, CT 06776-5302 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
Stacey Stillwell | 104 Gayla, Shawnee, OK 74801 | Occupational Therapist | ~ 1997-07-31 |
Stacey L Devito | 50 Visconti Ave, Southington, CT 06489-3651 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
Cathlyn Stacey | 16 Southwind Ln, Milford, CT 06460-7550 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
Stacey G Heenie | 60 Wallace Row, Wallingford, CT 06492 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
Stacey Evelyn Jakubowski | 6 Chestnut St # 2, Beverly, MA 01915-3307 | Occupational Therapist | 2020-03-30 ~ 2021-07-31 |
Stacey A Tudino | 144 N View Ave, Cranston, RI 02920-4809 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
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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).