KEITH W MUNNINGHAM (Credential# 777430) is licensed (Occupational Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2009. The license expiration date date is July 31, 2011. The license status is INACTIVE.
KEITH W MUNNINGHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #49.001117. The credential type is occupational therapist assistant. The effective date is August 1, 2009. The expiration date is July 31, 2011. The business address is 503 West Rd, Westfield, MA 01085-9704. The current status is inactive.
Licensee Name | KEITH W MUNNINGHAM |
Credential ID | 777430 |
Credential Number | 49.001117 |
Credential Type | Occupational Therapist Assistant |
Business Address |
503 West Rd Westfield MA 01085-9704 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2009-04-21 |
Effective Date | 2009-08-01 |
Expiration Date | 2011-07-31 |
Refresh Date | 2011-11-07 |
Street Address | 503 WEST RD |
City | WESTFIELD |
State | MA |
Zip Code | 01085-9704 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Katie M Winslow | 33 Cara Lane, Westfield, MA 01085 | Registered Nurse | 2020-06-20 ~ 2021-06-30 |
Diana P Wigham | 1031 East Mountain Road, Westfield, MA 01085 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Cathy A Roche | 56 Pequot Point Rd., Westfield, MA 01085 | Physical Therapist Assistant | 2020-08-01 ~ 2021-07-31 |
James Richard Vollinger | 139 Union Street, Westfield, MA 01085 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Sharon L Scavotto | 196 Tannery Road, Westfield, MA 01085 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
Christopher J Ferrero | 64 Ridge Trail Rd, Westfield, MA 01085 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
Aimee C Tompkins | 2 Birch Terr, Westfield, MA 01085 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
Jennifer B Wilson | 33 Raymond Cir, Westfield, MA 01085 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Patricia S Daley | 152 Elizabeth Ave, Westfield, MA 01085 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
Cheryl-ann J Koval | 171 Wildflower Cir, Westfield, MA 01085 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Find all Licenses in zip 01085 |
City | WESTFIELD |
Zip Code | 01085 |
License Type | Occupational Therapist Assistant |
License Type + County | Occupational Therapist Assistant + WESTFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Keith R Washington | 49 Spruce Street, Smithtown, NY 11787 | Occupational Therapist Assistant | 2017-08-01 ~ 2019-07-31 |
Keith R Oko | 129 Java St Apt 2, Brooklyn, NY 11222-1602 | Occupational Therapist | 2009-08-01 ~ 2011-07-31 |
Keith A Bouvier | 36 Campbell Dr, Canterbury, CT 06331-1807 | Occupational Therapist | 2019-08-01 ~ 2021-07-31 |
Kerrilee Keith | 65 Prospect Street, Stamford, CT 06902 | Occupational Therapist | ~ 1999-07-31 |
Keith A Bishop | 41 Barclay Street, Worcester, MA 01604 | Occupational Therapist | 2001-07-13 ~ 2003-07-31 |
Keith D Fritze | 11 Pontiac Ave., Webster, MA 01570 | Physical Therapist Assistant | ~ 2006-11-01 |
Keith P Jenkins | 1509 Queen Ann Ave., Seattle, WA 98109 | Physical Therapist Assistant | ~ 2006-11-01 |
Shanna E Zellmann | Psc 817, Fpo Ae, 09622 0016 | Occupational Therapist Assistant | 2005-07-29 ~ 2007-07-31 |
Stephanie Lee | 7 Elm St, Pleasantville, NY 10570 | Occupational Therapist Assistant | 2015-08-01 ~ 2017-07-31 |
Mun-ye Cho | 57 Bowe Ave, Stratford, CT 06615-5502 | 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).