SUZANNE M FORTIN
Speech and Language Pathologist


Address: 88 Milwaukee Ave, Bethel, CT 06801

SUZANNE M FORTIN (Credential# 698160) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is February 22, 2006. The license expiration date date is March 31, 2007. The license status is INACTIVE.

Business Overview

SUZANNE M FORTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.003589. The credential type is speech and language pathologist. The effective date is February 22, 2006. The expiration date is March 31, 2007. The business address is 88 Milwaukee Ave, Bethel, CT 06801. The current status is inactive.

Basic Information

Licensee Name SUZANNE M FORTIN
Credential ID 698160
Credential Number 18.003589
Credential Type Speech and Language Pathologist
Business Address 88 Milwaukee Ave
Bethel
CT 06801
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-09-22
Effective Date 2006-02-22
Expiration Date 2007-03-31
Refresh Date 2009-07-08

Office Location

Street Address 88 Milwaukee Ave
City Bethel
State CT
Zip Code 06801

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City Bethel
Zip Code 06801
License Type Speech and Language Pathologist
License Type + County Speech and Language Pathologist + Bethel

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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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