VIBHAV N PRAKASAM
Emergency Medical Technician


Address: 23 Mayfield Ter, East Lyme, CT 06333-1327

VIBHAV N PRAKASAM (Credential# 1413252) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is May 24, 2017. The license expiration date date is June 30, 2019. The license status is INACTIVE.

Business Overview

VIBHAV N PRAKASAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.021747. The credential type is emergency medical technician. The effective date is May 24, 2017. The expiration date is June 30, 2019. The business address is 23 Mayfield Ter, East Lyme, CT 06333-1327. The current status is inactive.

Basic Information

Licensee Name VIBHAV N PRAKASAM
Credential ID 1413252
Credential Number 70.021747
Credential Type Emergency Medical Technician
Business Address 23 Mayfield Ter
East Lyme
CT 06333-1327
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2017-05-24
Effective Date 2017-05-24
Expiration Date 2019-06-30
Refresh Date 2019-09-28

Office Location

Street Address 23 MAYFIELD TER
City EAST LYME
State CT
Zip Code 06333-1327

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Sandeep B Varma 30 Plum Hill Road, East Lyme, CT 06333 Physician/surgeon 2020-07-01 ~ 2021-06-30
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Competitor

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City EAST LYME
Zip Code 06333
License Type Emergency Medical Technician
License Type + County Emergency Medical Technician + EAST LYME

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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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