STACEY L. MILLER
Radiographer


Address: 11c Hamre Ln, Branford, CT 06405-3757

STACEY L. MILLER (Credential# 1006022) is licensed (Radiographer) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2015. The license expiration date date is April 30, 2016. The license status is INACTIVE.

Business Overview

STACEY L. MILLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #28.006058. The credential type is radiographer. The effective date is May 1, 2015. The expiration date is April 30, 2016. The business address is 11c Hamre Ln, Branford, CT 06405-3757. The current status is inactive.

Basic Information

Licensee Name STACEY L. MILLER
Credential ID 1006022
Credential Number 28.006058
Credential Type Radiographer
Business Address 11c Hamre Ln
Branford
CT 06405-3757
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-07-18
Effective Date 2015-05-01
Expiration Date 2016-04-30
Refresh Date 2016-08-05

Office Location

Street Address 11C HAMRE LN
City BRANFORD
State CT
Zip Code 06405-3757

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Javier Guzman 18c Hamre Ln, Branford, CT 06405-3757 Registered Nurse 2019-10-01 ~ 2020-09-30

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Cathleen Smith 50 First Avenue, Branford, CT 06405 Radiographer 2020-07-01 ~ 2021-06-30
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Competitor

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City BRANFORD
Zip Code 06405
License Type Radiographer
License Type + County Radiographer + BRANFORD

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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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