JACLYN M WALLACE (Credential# 776260) is licensed (Occupational Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2011. The license expiration date date is July 31, 2013. The license status is INACTIVE.
JACLYN M WALLACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.003426. The credential type is occupational therapist. The effective date is August 1, 2011. The expiration date is July 31, 2013. The business address is 1223 Martin Drive, Wantagh, NY 11793. The current status is inactive.
| Licensee Name | JACLYN M WALLACE |
| Credential ID | 776260 |
| Credential Number | 48.003426 |
| Credential Type | Occupational Therapist |
| Business Address |
1223 Martin Drive Wantagh NY 11793 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-04-01 |
| Effective Date | 2011-08-01 |
| Expiration Date | 2013-07-31 |
| Refresh Date | 2013-11-06 |
| Street Address | 1223 Martin Drive |
| City | Wantagh |
| State | NY |
| Zip Code | 11793 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| William H Devlin | 3125 Lawrence Pl, Wantagh, NY 11793 | Architect | 2020-08-01 ~ 2021-07-31 |
| Action Remediation Inc. | 3010 Burns Avenue, Wantagh, NY 11793 | Asbestos Contractor | 2019-01-01 ~ 2019-12-31 |
| Jessica M Phelan | 96 Trellis Lane, Wantagh, NY 11793 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Lauren K Fagan | 345 Red Maple Dr S, Wantaugh, NY 11793 | Audiologist | 2020-06-01 ~ 2021-05-31 |
| Mary Elizabeth Walsh | 3278 Woodward Ave., Wantagh, NY 11793 | Registered Nurse | ~ |
| Michael P Loney | 1372 Chelsea Rd, Wantagh, NY 11793 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Cyrus Joseph Izzo | 3454 Island Road, Wantagh, NY 11793 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Steven M Pires | 42 Wisteria Lane, Wantagh, NY 11793 | Notary Public Appointment | 2007-03-22 ~ 2012-03-31 |
| Lyncean Ung | 815 Park Drive, New York, NY 11793 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Denise E Breeze | 2845 Charles Rd, Wantagh, NY 11793 | Pharmacy Intern | 2018-09-06 ~ 2022-09-30 |
| Find all Licenses in zip 11793 | |||
| City | Wantagh |
| Zip Code | 11793 |
| License Type | Occupational Therapist |
| License Type + County | Occupational Therapist + Wantagh |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jaclyn G Lavigne | 138 Eastgate Dr, Cheshire, CT 06410-2235 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Jaclyn Zambrella | 209 Garth Road, Apt 6m, Scarsdale, NY 10583 | Occupational Therapist | ~ |
| Jaclyn Provencher | 40 Plantation Dr, Agawam, MA 01001-3235 | Occupational Therapist | 2019-02-11 ~ 2019-07-31 |
| Jaclyn H Cmero | 310 Bennett Rd, Hampden, MA 01036-9103 | Occupational Therapist | 2011-08-01 ~ 2013-07-31 |
| Jaclyn Piselli | 535 Brooksvale Ave, Hamden, CT 06518-1236 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
| Jaclyn A Kopidlowski | 81 Satterthwaite Ave, Nutley, NJ 07110-1834 | Occupational Therapist | 2013-08-01 ~ 2015-07-31 |
| Jaclyn Inzalaco | 41 Wichard Blvd, Commack, NY 11725-1708 | Occupational Therapist | 2020-02-06 ~ 2021-07-31 |
| Jaclyn B Clifford Walter | 543 Prospect St Apt 1, New Haven, CT 06511-2135 | Occupational Therapist | 2017-08-01 ~ 2019-07-31 |
| Jaclyn M Gaudio | 52 Hilltop Dr, North Salem, NY 10560-2212 | Occupational Therapist | 2016-03-07 ~ 2017-07-31 |
| Jaclyn M Maier | 187 Williams Rd, Wallingford, CT 06492-2732 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
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| 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).