LISA M BAXTER
Speech and Language Pathologist


Address: 30 Haig Ave, Bristol, CT 06010

LISA M BAXTER (Credential# 697794) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is April 6, 2009. The license expiration date date is May 31, 2010. The license status is INACTIVE.

Business Overview

LISA M BAXTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.003223. The credential type is speech and language pathologist. The effective date is April 6, 2009. The expiration date is May 31, 2010. The business address is 30 Haig Ave, Bristol, CT 06010. The current status is inactive.

Basic Information

Licensee Name LISA M BAXTER
Credential ID 697794
Credential Number 18.003223
Credential Type Speech and Language Pathologist
Business Address 30 Haig Ave
Bristol
CT 06010
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-09-14
Effective Date 2009-04-06
Expiration Date 2010-05-31
Refresh Date 2010-09-01

Office Location

Street Address 30 Haig Ave
City Bristol
State CT
Zip Code 06010

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Tisha A Balfour 379 West Street, Bristol, CT 06010 Licensed Practical Nurse 2020-08-01 ~ 2021-07-31
Meredith Rose Martineau 15 Bishop Street, Bristol, CT 06010 Master's Level Social Worker - Temporary Permit 2020-06-26 ~ 2020-09-06
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City Bristol
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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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