JENNIFER A MANDEVILLE
Occupational Therapist


Address: 14 Deer Ridge Rd, Killingworth, CT 06419-2326

JENNIFER A MANDEVILLE (Credential# 775061) 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.

Business Overview

JENNIFER A MANDEVILLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.002226. The credential type is occupational therapist. The effective date is August 1, 2019. The expiration date is July 31, 2021. The business address is 14 Deer Ridge Rd, Killingworth, CT 06419-2326. The current status is active.

Basic Information

Licensee Name JENNIFER A MANDEVILLE
Credential ID 775061
Credential Number 48.002226
Credential Type Occupational Therapist
Business Address 14 Deer Ridge Rd
Killingworth
CT 06419-2326
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-01-29
Effective Date 2019-08-01
Expiration Date 2021-07-31
Refresh Date 2019-08-02

Office Location

Street Address 14 DEER RIDGE RD
City KILLINGWORTH
State CT
Zip Code 06419-2326

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Rajendra K Bobba 39 Buell Hill Rd, Killingworth, CT 06419 Physician/surgeon 2020-09-01 ~ 2021-08-31
Deborah M Cabral 61 Little Cty Rd, Killingworth, CT 06419 Registered Nurse 2020-07-01 ~ 2021-06-30
Cheryl Dickson Toman 16 Cedar Drive, Killingworth, CT 06419 Notary Public Appointment 2020-07-01 ~ 2025-06-30
Nanci S Coleman 9 Buell Hill Rd., Killingworth, CT 06419 Registered Nurse 2020-07-01 ~ 2021-06-30
Sondra D Arbona 21 Robin Ln, Killingworth, CT 06419 Registered Nurse 2020-08-01 ~ 2021-07-31
Lisa R Barbour 32 Boulder Trail, Killingworth, CT 06419 Notary Public Appointment 2020-10-01 ~ 2025-09-30
Barbara K Irzyk 12 Warwickshire Dr., Killingworth, CT 06419 Speech and Language Pathologist 2020-09-01 ~ 2021-08-31
Diane Shauk Shuir 184 Route 81 Bldg2, Killingworth, CT 06419 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-20 ~ 2022-05-31
Yvonne Bradley 42 Fawn Hill Road, Killingworth, CT 06419 Licensed Clinical Social Worker 2020-09-01 ~ 2021-08-31
Staci L Petroskey 140 Little City Road, Killingworth, CT 06419 Registered Nurse 2020-07-01 ~ 2021-06-30
Find all Licenses in zip 06419

Competitor

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City KILLINGWORTH
Zip Code 06419
License Type Occupational Therapist
License Type + County Occupational Therapist + KILLINGWORTH

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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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