JENNIFER M RUSSO
Speech and Language Pathologist


Address: 1450 Washington Blvd., Stamford, CT 06902

JENNIFER M RUSSO (Credential# 698465) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2012. The license expiration date date is March 31, 2013. The license status is INACTIVE.

Business Overview

JENNIFER M RUSSO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.003894. The credential type is speech and language pathologist. The effective date is April 1, 2012. The expiration date is March 31, 2013. The business address is 1450 Washington Blvd., Stamford, CT 06902. The current status is inactive.

Basic Information

Licensee Name JENNIFER M RUSSO
Credential ID 698465
Credential Number 18.003894
Credential Type Speech and Language Pathologist
Business Address 1450 Washington Blvd.
Stamford
CT 06902
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-07-25
Effective Date 2012-04-01
Expiration Date 2013-03-31
Refresh Date 2013-07-03

Office Location

Street Address 1450 WASHINGTON BLVD.
City STAMFORD
State CT
Zip Code 06902

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Andrea Bynoe 34 Melrose Pl, Stamford, CT 06902 Notary Public Appointment 1994-04-06 ~ 1999-04-30
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Competitor

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City STAMFORD
Zip Code 06902
License Type Speech and Language Pathologist
License Type + County Speech and Language Pathologist + STAMFORD

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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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