MICHAEL R BURGUM (Credential# 1124778) is licensed (Emergency Medical Responder) with Connecticut Department of Consumer Protection. The license effective date is September 27, 2012. The license expiration date date is July 1, 2015. The license status is INACTIVE.
MICHAEL R BURGUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #69.012201. The credential type is emergency medical responder. The effective date is September 27, 2012. The expiration date is July 1, 2015. The business address is 128 Bellevue Dr, Coventry, CT 06238-2207. The current status is inactive.
| Licensee Name | MICHAEL R BURGUM |
| Credential ID | 1124778 |
| Credential Number | 69.012201 |
| Credential Type | Emergency Medical Responder |
| Business Address |
128 Bellevue Dr Coventry CT 06238-2207 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-09-27 |
| Effective Date | 2012-09-27 |
| Expiration Date | 2015-07-01 |
| Refresh Date | 2015-10-14 |
| Street Address | 128 BELLEVUE DR |
| City | COVENTRY |
| State | CT |
| Zip Code | 06238-2207 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Parul S Shah · Bidwell Spirit Shoppe | 1220 Main St, Coventry, CT 06238 | Package Store Liquor | 2020-08-02 ~ 2021-08-01 |
| Mary A Manton | 28 Armstrong Rd Unit B-9, Coventry, CT 06238 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Barbara J Dillon | 93 Alice Drive, Coventry, CT 06238 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Cody Adam Kirschbaum | 83 Daly Rd, Coventry, CT 06238 | Emergency Medical Technician | ~ |
| Stephanie A Simmons | 878 Silver St, Coventry, CT 06238 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Mellissa U Carroll | 349 Ripley Hill Rd, Coventry, CT 06238 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kristin D'alfonso | 43 Windy Hill Road, Coventry, CT 06238 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Dawn Trudeau | 46 Flanders River Road, Coventry, CT 06238 | Medication Administration Certification | 2020-06-28 ~ 2022-06-27 |
| Bryan Trudel | 3505 South St., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Christopher Dean | 545 Flanders Rd., Coventry, CT 06238 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Find all Licenses in zip 06238 | |||
| City | COVENTRY |
| Zip Code | 06238 |
| License Type | Emergency Medical Responder |
| License Type + County | Emergency Medical Responder + COVENTRY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Rutledge · Michael Rutledge Builders | 63 Candlewood Rd, Milford, CT 06461-2209 | Emergency Medical Responder | 2019-10-01 ~ 2022-09-30 |
| Michael O. Reidy | Middletown, Ct, CT 06457 | Emergency Medical Responder | ~ |
| Michael A Reo | 604 Rt 22, Brewster, NY 10509 | Emergency Medical Responder | 2006-09-14 ~ 2008-07-01 |
| Michael R Ciccarelli | Po Box 149, Southport, ME 04576-0149 | Emergency Medical Responder | 2018-09-06 ~ 2021-07-01 |
| Michael Grabowski | 285 Preston Ave, Meriden, CT 06450-4875 | Emergency Medical Responder | ~ |
| Michael R Mckenna | 78 S Main St, Westbrook, CT 06498 | Emergency Medical Responder | ~ |
| Michael Dube | P.o. Box 206, Pawling, NY 12564 | Emergency Medical Responder | ~ 1996-04-01 |
| Michael C Ferderer | P.o. Box 401, Wauregan, CT 06387 | Emergency Medical Responder | 2009-01-14 ~ 2010-10-01 |
| Michael J Brennan | 4 Tapping Cir, Milford, CT 06460-3665 | Emergency Medical Responder | ~ |
| Michael G Julian | P.o. Box 154, Grosvenordale, CT 06246 | Emergency Medical Responder | ~ 2001-07-01 |
Please comment or provide details below to improve the information on MICHAEL R BURGUM.
| 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).