DEREK L SOMERVILLE
Occupational Therapist Assistant


Address: 25 Buckley Street, Port Jervis, NY 12771

DEREK L SOMERVILLE (Credential# 777388) is licensed (Occupational Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 23, 2008. The license expiration date date is July 31, 2009. The license status is INACTIVE.

Business Overview

DEREK L SOMERVILLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #49.001075. The credential type is occupational therapist assistant. The effective date is May 23, 2008. The expiration date is July 31, 2009. The business address is 25 Buckley Street, Port Jervis, NY 12771. The current status is inactive.

Basic Information

Licensee Name DEREK L SOMERVILLE
Credential ID 777388
Credential Number 49.001075
Credential Type Occupational Therapist Assistant
Business Address 25 Buckley Street
Port Jervis
NY 12771
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-05-23
Effective Date 2008-05-23
Expiration Date 2009-07-31
Refresh Date 2010-01-08

Office Location

Street Address 25 Buckley Street
City Port Jervis
State NY
Zip Code 12771

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Jeanette Collazo 569 Old Mountain Road, Port Jervis, NY 12771 Registered Nurse 2019-11-01 ~ 2020-10-31
Alexander Quick 6 Lyman Ave, Port Jervis, NY 12771 Repairer of Weighing & Measuring Devices 2015-02-26 ~ 2015-12-31
Kishanrao Bogavelli 29 Culvert Street, Portjervis, NY 12771 Physician/surgeon 2010-09-01 ~ 2011-08-31
Robert E Habig 20 Kingston Ave, Port Jervis, NY 12771 Architect 1999-08-01 ~ 2000-07-31
William P Kowal 4 Court Helaine, Port Jenis, NY 12771 Occupational Therapist Assistant ~ 1995-07-31
Meghann A Collins 37 Sussex Street, Port Jervis, NY 12771 Professional Counselor 2007-04-20 ~ 2008-05-31
Kim J Decker 39 Church St #29, Port Jervis, NY 12771 Registered Nurse 1993-02-25 ~ 1993-09-30
Marcolino M Andalis 721 Minisimk Tpke, Port Jervis, NY 12771 Respiratory Care Practitioner 2002-12-02 ~ 2004-01-31
Janice S Mortenson Town of Greenville, Port Jervis, NY 12771 Registered Nurse 2006-09-18 ~ 2007-08-31
Katherine C Moshinski · Empire Hm Mdrnztn Inc (s) 132 Ball St, Port Jervis, NY 12771 Home Improvement Salesperson ~ 1994-01-01
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Competitor

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City Port Jervis
Zip Code 12771
License Type Occupational Therapist Assistant
License Type + County Occupational Therapist Assistant + Port Jervis

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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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