SUSAN FAVA (Credential# 777185) 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.
SUSAN FAVA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #49.000872. 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 20 Small Pond Road, Carolina, RI 02812. The current status is active.
| Licensee Name | SUSAN FAVA |
| Credential ID | 777185 |
| Credential Number | 49.000872 |
| Credential Type | Occupational Therapist Assistant |
| Business Address |
20 Small Pond Road Carolina RI 02812 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2002-10-11 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2019-06-03 |
| Street Address | 20 Small Pond Road |
| City | Carolina |
| State | RI |
| Zip Code | 02812 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Roberta M Wood | 159 Dover Lane, Richmond, RI 02812 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Kelli R Andrews | 18 Wilbur Hill Rd, Carolina, RI 02812 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Nicole L Spaziano | 7 Denise Dr., Richmond, RI 02812 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Carol Joy Vaught | 9 Debra Drive, Carolina, RI 02812 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| John M Lambert | 2 Forrest Lane, Carolina, RI 02812 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| George C Heath | 8 Fairside Dr., Richmond, RI 02812 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Adam D La Roche | 12 Small Pond Rd, Carolina, RI 02812 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Lauren E. Rigo | 79 Pine Hill Rd, Carolina, RI 02812 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Charles William Maine Jr | 24 Greystoke Ln, Carolina, RI 02812 | Physical Therapist Assistant | ~ |
| Courtney Gustafson | 236 Richmond Townhouse Road, Carolina, RI 02812 | Notary Public Appointment | 2007-05-01 ~ 2012-05-31 |
| Find all Licenses in zip 02812 | |||
| City | Carolina |
| Zip Code | 02812 |
| License Type | Occupational Therapist Assistant |
| License Type + County | Occupational Therapist Assistant + Carolina |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lou Fava & Son | 25 Pond Valley Rd, Woodbury, CT 06798 | Home Improvement Contractor | 1998-12-01 ~ 1999-11-30 |
| Susan L Herrington | 118 Genesee Ln, Madison, CT 06443-1678 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Susan M Begley | 34 Ballaro Dr, Shelton, CT 06484-2417 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Susan Frisenda | 22 Rock City Rd, Milan, NY 12571-2439 | Occupational Therapist Assistant | ~ |
| Susan M Kocot | 44 Bobolink Ln, Somers, CT 06071-1641 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Susan C Sovinski | 23 Cornerstone Dr, Derby, CT 06418-1145 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Susan C Wiley | 26 William St, Pawcatuck, CT 06379-2109 | Occupational Therapist Assistant | 2011-08-01 ~ 2013-07-31 |
| Susan J Coutant | 33 Mountain Rd, Windsor, CT 06095 | Occupational Therapist Assistant | 1995-10-18 ~ 1997-07-31 |
| Susan Salwa | 4 Settlers Way, Ellington, CT 06029 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Susan S Robb | 241 Wetherell St Apt 12, Manchester, CT 06040-6367 | Occupational Therapist Assistant | 1993-06-24 ~ 1995-07-31 |
Please comment or provide details below to improve the information on SUSAN FAVA.
| 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).