KAREN SAMPLE
Audiologist


Address: 223 Katona Dr, Fairfield, CT 06824-3524

KAREN SAMPLE (Credential# 695051) is licensed (Audiologist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

KAREN SAMPLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #17.000303. The credential type is audiologist. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 223 Katona Dr, Fairfield, CT 06824-3524. The current status is active.

Basic Information

Licensee Name KAREN SAMPLE
Credential ID 695051
Credential Number 17.000303
Credential Type Audiologist
Business Address 223 Katona Dr
Fairfield
CT 06824-3524
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1995-11-17
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-02-05

Office Location

Street Address 223 KATONA DR
City FAIRFIELD
State CT
Zip Code 06824-3524

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Competitor

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City FAIRFIELD
Zip Code 06824
License Type Audiologist
License Type + County Audiologist + FAIRFIELD

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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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