BROOKE W CLARK
Occupational Therapist


Address: 316 W 116 Th St, New York, NY 10026

BROOKE W CLARK (Credential# 974695) is licensed (Occupational Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2015. The license expiration date date is July 31, 2017. The license status is INACTIVE.

Business Overview

BROOKE W CLARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.003741. The credential type is occupational therapist. The effective date is August 1, 2015. The expiration date is July 31, 2017. The business address is 316 W 116 Th St, New York, NY 10026. The current status is inactive.

Basic Information

Licensee Name BROOKE W CLARK
Credential ID 974695
Credential Number 48.003741
Credential Type Occupational Therapist
Business Address 316 W 116 Th St
New York
NY 10026
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-11-22
Effective Date 2015-08-01
Expiration Date 2017-07-31
Refresh Date 2017-11-03

Office Location

Street Address 316 W 116 TH ST
City NEW YORK
State NY
Zip Code 10026

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Competitor

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City NEW YORK
Zip Code 10026
License Type Occupational Therapist
License Type + County Occupational Therapist + NEW YORK

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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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