SUSAN G GOODWIN
Occupational Therapist Assistant


Address: 39 Franconia Street, Springfield, MA 01108

SUSAN G GOODWIN (Credential# 777000) is licensed (Occupational Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 28, 1999. The license expiration date date is July 31, 2001. The license status is INACTIVE.

Business Overview

SUSAN G GOODWIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #49.000687. The credential type is occupational therapist assistant. The effective date is July 28, 1999. The expiration date is July 31, 2001. The business address is 39 Franconia Street, Springfield, MA 01108. The current status is inactive.

Basic Information

Licensee Name SUSAN G GOODWIN
Credential ID 777000
Credential Number 49.000687
Credential Type Occupational Therapist Assistant
Business Address 39 Franconia Street
Springfield
MA 01108
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-11-20
Effective Date 1999-07-28
Expiration Date 2001-07-31
Refresh Date 2009-07-08

Office Location

Street Address 39 FRANCONIA STREET
City SPRINGFIELD
State MA
Zip Code 01108

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Alice F Thomas 91 Audubon St, Springfield, MA 01108 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City SPRINGFIELD
Zip Code 01108
License Type Occupational Therapist Assistant
License Type + County Occupational Therapist Assistant + SPRINGFIELD

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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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