ANN M SUPLICKI
Occupational Therapist Assistant


Address: 25 Henry St, New London, CT 06320

ANN M SUPLICKI (Credential# 776397) is licensed (Occupational Therapist Assistant) 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

ANN M SUPLICKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #49.000008. The credential type is occupational therapist assistant. The effective date is August 1, 2019. The expiration date is July 31, 2021. The business address is 25 Henry St, New London, CT 06320. The current status is active.

Basic Information

Licensee Name ANN M SUPLICKI
Credential ID 776397
Credential Number 49.000008
Credential Type Occupational Therapist Assistant
Business Address 25 Henry St
New London
CT 06320
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1981-07-26
Effective Date 2019-08-01
Expiration Date 2021-07-31
Refresh Date 2019-06-03

Office Location

Street Address 25 HENRY ST
City NEW LONDON
State CT
Zip Code 06320

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Robert F Gardner 241 Crystal Ave, New London, CT 06320 Home Improvement Salesperson 2020-06-26 ~ 2020-11-30
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Kevin J O'reilly 20 Parkway South, New London, CT 06320 Psychologist 2020-09-01 ~ 2021-08-31
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Competitor

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City NEW LONDON
Zip Code 06320
License Type Occupational Therapist Assistant
License Type + County Occupational Therapist Assistant + NEW LONDON

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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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