LESLIE FREDENBURGH
MUNDORF


Address: 394 Bartlett Dr, Madison, CT 06443

LESLIE FREDENBURGH (Credential# 649078) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 25, 1995. The license expiration date date is September 30, 1996. The license status is INACTIVE.

Business Overview

LESLIE FREDENBURGH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.R49330. The credential type is registered nurse. The effective date is August 25, 1995. The expiration date is September 30, 1996. The business address is 394 Bartlett Dr, Madison, CT 06443. The current status is inactive.

Basic Information

Licensee Name LESLIE FREDENBURGH
Doing Business As MUNDORF
Credential ID 649078
Credential Number 10.R49330
Credential Type Registered Nurse
Business Address 394 Bartlett Dr
Madison
CT 06443
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-11-01
Effective Date 1995-08-25
Expiration Date 1996-09-30
Refresh Date 2009-07-08

Office Location

Street Address 394 BARTLETT DR
City MADISON
State CT
Zip Code 06443

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Caitlyn Beverly Darosa Lyle Dr, Madison, CT 06443 Registered Nurse ~
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Pasquale Sabatasso 122 River Edge Farms Road, Madison, CT 06443 Barber 2020-07-01 ~ 2022-06-30
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Madison Community Services Inc. P.o. Box 148, Madison, CT 06443 Public Charity 2020-12-01 ~ 2021-11-30
Shaina Michele Levinson 52 East Wharf Rd, Madison, CT 06443 Master's Level Social Worker ~
Stephen G Lynch · Lynch, Stephen Gerard 12 Milestone Lane, Madison, CT 06443 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
David F Courtney Md 38 Old Duck Hole Road, Madison, CT 06443 Physician/surgeon 2020-07-01 ~ 2021-06-30
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Competitor

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City MADISON
Zip Code 06443
License Type Registered Nurse
License Type + County Registered Nurse + MADISON

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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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