GREGORY BRACKEN
Respiratory Care Practitioner


Address: 12111-a Maple, Fairfax, VA 22030

GREGORY BRACKEN (Credential# 748241) is licensed (Respiratory Care Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 26, 1997. The license expiration date date is November 30, 1998. The license status is INACTIVE.

Business Overview

GREGORY BRACKEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #26.001323. The credential type is respiratory care practitioner. The effective date is September 26, 1997. The expiration date is November 30, 1998. The business address is 12111-a Maple, Fairfax, VA 22030. The current status is inactive.

Basic Information

Licensee Name GREGORY BRACKEN
Credential ID 748241
Credential Number 26.001323
Credential Type Respiratory Care Practitioner
Business Address 12111-a Maple
Fairfax
VA 22030
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-03-27
Effective Date 1997-09-26
Expiration Date 1998-11-30
Refresh Date 2009-07-08

Office Location

Street Address 12111-A MAPLE
City FAIRFAX
State VA
Zip Code 22030

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Competitor

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City FAIRFAX
Zip Code 22030
License Type Respiratory Care Practitioner
License Type + County Respiratory Care Practitioner + FAIRFAX

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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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