STACY L HOLDERBAUM
Respiratory Care Practitioner


Address: 132 Fieldstone Dr., Windsor, CT 06095

STACY L HOLDERBAUM (Credential# 748733) is licensed (Respiratory Care Practitioner) with Connecticut Department of Consumer Protection. The license effective date is October 20, 2003. The license expiration date date is November 30, 2004. The license status is INACTIVE.

Business Overview

STACY L HOLDERBAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #26.001815. The credential type is respiratory care practitioner. The effective date is October 20, 2003. The expiration date is November 30, 2004. The business address is 132 Fieldstone Dr., Windsor, CT 06095. The current status is inactive.

Basic Information

Licensee Name STACY L HOLDERBAUM
Credential ID 748733
Credential Number 26.001815
Credential Type Respiratory Care Practitioner
Business Address 132 Fieldstone Dr.
Windsor
CT 06095
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2001-11-20
Effective Date 2003-10-20
Expiration Date 2004-11-30
Refresh Date 2009-07-08

Office Location

Street Address 132 Fieldstone Dr.
City Windsor
State CT
Zip Code 06095

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Competitor

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City Windsor
Zip Code 06095
License Type Respiratory Care Practitioner
License Type + County Respiratory Care Practitioner + Windsor

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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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