DANA M TIEBOUT
Speech and Language Pathologist


Address: 43 Crystal Ridge Dr., Tolland, CT 06084

DANA M TIEBOUT (Credential# 1173355) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is APPROVED.

Business Overview

DANA M TIEBOUT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.004894. The credential type is speech and language pathologist. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 43 Crystal Ridge Dr., Tolland, CT 06084. The current status is approved.

Basic Information

Licensee Name DANA M TIEBOUT
Credential ID 1173355
Credential Number 18.004894
Credential Type Speech and Language Pathologist
Business Address 43 Crystal Ridge Dr.
Tolland
CT 06084
Business Type INDIVIDUAL
Status APPROVED - CURRENT
Active 1
Issue Date 2014-09-04
Effective Date 2020-09-01
Expiration Date 2021-08-31
Refresh Date 2020-06-23

Other licenses

ID Credential Code Credential Type Issue Term Status
1178168 18-TEMP Speech and Language Pathologist Temporary Permit 2013-11-04 2013-11-04 - 2013-07-01 INACTIVE

Office Location

Street Address 43 Crystal Ridge Dr.
City Tolland
State CT
Zip Code 06084

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Keri A Johnson 224 Buff Cap Rd, Tolland, CT 06084 Registered Nurse 2020-07-01 ~ 2021-06-30
Clifford Vernor Dunn, IIi 44 Birch Hill Dr., Tolland, CT 06084 Physician/surgeon 2020-07-01 ~ 2021-06-30
Aimee Wendy Johnson 175 South River Rd, Tolland, CT 06084 Registered Nurse 2020-07-01 ~ 2021-06-30
Peter D Staiger Md David E. Palozej Eyecare Associates, Tolland, CT 06084 Physician/surgeon 2020-07-01 ~ 2021-06-30
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Competitor

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City Tolland
Zip Code 06084
License Type Speech and Language Pathologist
License Type + County Speech and Language Pathologist + Tolland

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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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