MICHELLE D MCCALLUM
Audiologist


Address: 792 Flanders Road, Southington, CT 06489

MICHELLE D MCCALLUM (Credential# 695053) is licensed (Audiologist) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2012. The license expiration date date is June 30, 2013. The license status is INACTIVE.

Business Overview

MICHELLE D MCCALLUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #17.000305. The credential type is audiologist. The effective date is July 1, 2012. The expiration date is June 30, 2013. The business address is 792 Flanders Road, Southington, CT 06489. The current status is inactive.

Basic Information

Licensee Name MICHELLE D MCCALLUM
Credential ID 695053
Credential Number 17.000305
Credential Type Audiologist
Business Address 792 Flanders Road
Southington
CT 06489
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-05-17
Effective Date 2012-07-01
Expiration Date 2013-06-30
Refresh Date 2013-10-08

Office Location

Street Address 792 FLANDERS ROAD
City SOUTHINGTON
State CT
Zip Code 06489

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City SOUTHINGTON
Zip Code 06489
License Type Audiologist
License Type + County Audiologist + SOUTHINGTON

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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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