LISA M KIEVMAN
Speech and Language Pathologist


Address: 19 Fairview Pl, Hauppauge, NY 11788

LISA M KIEVMAN (Credential# 695897) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is January 7, 1998. The license expiration date date is March 31, 1999. The license status is INACTIVE.

Business Overview

LISA M KIEVMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.001071. The credential type is speech and language pathologist. The effective date is January 7, 1998. The expiration date is March 31, 1999. The business address is 19 Fairview Pl, Hauppauge, NY 11788. The current status is inactive.

Basic Information

Licensee Name LISA M KIEVMAN
Credential ID 695897
Credential Number 18.001071
Credential Type Speech and Language Pathologist
Business Address 19 Fairview Pl
Hauppauge
NY 11788
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1901-01-01
Effective Date 1998-01-07
Expiration Date 1999-03-31
Refresh Date 2009-07-08

Office Location

Street Address 19 FAIRVIEW PL
City HAUPPAUGE
State NY
Zip Code 11788

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City HAUPPAUGE
Zip Code 11788
License Type Speech and Language Pathologist
License Type + County Speech and Language Pathologist + HAUPPAUGE

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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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