BRANDI L FULLER
Occupational Therapist


Address: Lincklaen Ctr Rd, Deruyter, NY 13052

BRANDI L FULLER (Credential# 774622) is licensed (Occupational Therapist) with Connecticut Department of Consumer Protection. The license effective date is June 16, 1997. The license expiration date date is July 31, 1999. The license status is INACTIVE.

Business Overview

BRANDI L FULLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.001786. The credential type is occupational therapist. The effective date is June 16, 1997. The expiration date is July 31, 1999. The business address is Lincklaen Ctr Rd, Deruyter, NY 13052. The current status is inactive.

Basic Information

Licensee Name BRANDI L FULLER
Credential ID 774622
Credential Number 48.001786
Credential Type Occupational Therapist
Business Address Lincklaen Ctr Rd
Deruyter
NY 13052
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-11-08
Effective Date 1997-06-16
Expiration Date 1999-07-31
Refresh Date 2009-07-08

Office Location

Street Address LINCKLAEN CTR RD
City DERUYTER
State NY
Zip Code 13052

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Pearl Bailey Po Box 491, De Ruyter, NY 13052-0491 Registered Nurse ~

Competitor

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City DERUYTER
Zip Code 13052
License Type Occupational Therapist
License Type + County Occupational Therapist + DERUYTER

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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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