MYLTREDA L JENSEN
Speech and Language Pathologist


Address: 1005 Churchill Lane, Roswell, GA 30075

MYLTREDA L JENSEN (Credential# 696293) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is April 24, 1992. The license expiration date date is March 31, 1993. The license status is INACTIVE.

Business Overview

MYLTREDA L JENSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.001629. The credential type is speech and language pathologist. The effective date is April 24, 1992. The expiration date is March 31, 1993. The business address is 1005 Churchill Lane, Roswell, GA 30075. The current status is inactive.

Basic Information

Licensee Name MYLTREDA L JENSEN
Credential ID 696293
Credential Number 18.001629
Credential Type Speech and Language Pathologist
Business Address 1005 Churchill Lane
Roswell
GA 30075
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1986-07-17
Effective Date 1992-04-24
Expiration Date 1993-03-31
Refresh Date 2009-07-08

Office Location

Street Address 1005 CHURCHILL LANE
City ROSWELL
State GA
Zip Code 30075

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City ROSWELL
Zip Code 30075
License Type Speech and Language Pathologist
License Type + County Speech and Language Pathologist + ROSWELL

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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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