MARVINA L MATLOCK
Occupational Therapist


Address: 118 East Ave 2nd Fl, New Canaan, CT 06840

MARVINA L MATLOCK (Credential# 774647) is licensed (Occupational Therapist) with Connecticut Department of Consumer Protection. The license effective date is July 2, 1997. The license expiration date date is July 31, 1999. The license status is INACTIVE.

Business Overview

MARVINA L MATLOCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.001811. The credential type is occupational therapist. The effective date is July 2, 1997. The expiration date is July 31, 1999. The business address is 118 East Ave 2nd Fl, New Canaan, CT 06840. The current status is inactive.

Basic Information

Licensee Name MARVINA L MATLOCK
Credential ID 774647
Credential Number 48.001811
Credential Type Occupational Therapist
Business Address 118 East Ave 2nd Fl
New Canaan
CT 06840
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-03-27
Effective Date 1997-07-02
Expiration Date 1999-07-31
Refresh Date 2009-07-08

Office Location

Street Address 118 EAST AVE 2ND FL
City NEW CANAAN
State CT
Zip Code 06840

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Competitor

Search similar business entities

City NEW CANAAN
Zip Code 06840
License Type Occupational Therapist
License Type + County Occupational Therapist + NEW CANAAN

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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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