JENNA M MICHELSON
Speech and Language Pathologist


Address: 301 Canterbury Lane, Southport, CT 06825

JENNA M MICHELSON (Credential# 1037271) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 29, 2016. The license status is INACTIVE.

Business Overview

JENNA M MICHELSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.004609. The credential type is speech and language pathologist. The effective date is March 1, 2015. The expiration date is February 29, 2016. The business address is 301 Canterbury Lane, Southport, CT 06825. The current status is inactive.

Basic Information

Licensee Name JENNA M MICHELSON
Credential ID 1037271
Credential Number 18.004609
Credential Type Speech and Language Pathologist
Business Address 301 Canterbury Lane
Southport
CT 06825
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-11-26
Effective Date 2015-03-01
Expiration Date 2016-02-29
Refresh Date 2016-06-06

Other licenses

ID Credential Code Credential Type Issue Term Status
1042184 18-TEMP Speech and Language Pathologist Temporary Permit 2011-11-14 - 2012-11-14 INACTIVE

Office Location

Street Address 301 CANTERBURY LANE
City SOUTHPORT
State CT
Zip Code 06825

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City SOUTHPORT
Zip Code 06825
License Type Speech and Language Pathologist
License Type + County Speech and Language Pathologist + SOUTHPORT

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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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