LESLIE J BLANK
OLDS


Address: 68 Avonridge, Avon, CT 06001

LESLIE J BLANK (Credential# 774403) is licensed (Occupational Therapist) with Connecticut Department of Consumer Protection. The license effective date is June 10, 1999. The license expiration date date is July 31, 2001. The license status is INACTIVE.

Business Overview

LESLIE J BLANK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.001565. The credential type is occupational therapist. The effective date is June 10, 1999. The expiration date is July 31, 2001. The business address is 68 Avonridge, Avon, CT 06001. The current status is inactive.

Basic Information

Licensee Name LESLIE J BLANK
Doing Business As OLDS
Credential ID 774403
Credential Number 48.001565
Credential Type Occupational Therapist
Business Address 68 Avonridge
Avon
CT 06001
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1995-11-09
Effective Date 1999-06-10
Expiration Date 2001-07-31
Refresh Date 2009-07-08

Office Location

Street Address 68 AVONRIDGE
City AVON
State CT
Zip Code 06001

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Competitor

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City AVON
Zip Code 06001
License Type Occupational Therapist
License Type + County Occupational Therapist + AVON

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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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