MADISON M FORTNER
Emergency Medical Technician


Address: 45 Prospect St, Mystic, CT 06355-2338

MADISON M FORTNER (Credential# 1259051) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2020. The license expiration date date is September 30, 2022. The license status is ACTIVE.

Business Overview

MADISON M FORTNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.018728. The credential type is emergency medical technician. The effective date is October 1, 2020. The expiration date is September 30, 2022. The business address is 45 Prospect St, Mystic, CT 06355-2338. The current status is active.

Basic Information

Licensee Name MADISON M FORTNER
Credential ID 1259051
Credential Number 70.018728
Credential Type Emergency Medical Technician
Business Address 45 Prospect St
Mystic
CT 06355-2338
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-02-20
Effective Date 2020-10-01
Expiration Date 2022-09-30
Refresh Date 2020-06-01

Office Location

Street Address 45 PROSPECT ST
City MYSTIC
State CT
Zip Code 06355-2338

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City MYSTIC
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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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