JENNIFER BLAZE
Occupational Therapist


Address: 47 Dunbar Ln, Hamden, CT 06514

JENNIFER BLAZE (Credential# 774607) is licensed (Occupational Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2017. The license expiration date date is July 31, 2019. The license status is INACTIVE.

Business Overview

JENNIFER BLAZE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.001771. The credential type is occupational therapist. The effective date is August 1, 2017. The expiration date is July 31, 2019. The business address is 47 Dunbar Ln, Hamden, CT 06514. The current status is inactive.

Basic Information

Licensee Name JENNIFER BLAZE
Credential ID 774607
Credential Number 48.001771
Credential Type Occupational Therapist
Business Address 47 Dunbar Ln
Hamden
CT 06514
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-10-04
Effective Date 2017-08-01
Expiration Date 2019-07-31
Refresh Date 2019-11-03

Office Location

Street Address 47 DUNBAR LN
City HAMDEN
State CT
Zip Code 06514

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Competitor

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City HAMDEN
Zip Code 06514
License Type Occupational Therapist
License Type + County Occupational Therapist + HAMDEN

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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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