ROBIN M PROVENZANO
Radiographer


Address: 55 D'amato Lane, Bristol, CT 06010

ROBIN M PROVENZANO (Credential# 752094) is licensed (Radiographer) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

ROBIN M PROVENZANO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #28.001302. The credential type is radiographer. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 55 D'amato Lane, Bristol, CT 06010. The current status is active.

Basic Information

Licensee Name ROBIN M PROVENZANO
Credential ID 752094
Credential Number 28.001302
Credential Type Radiographer
Business Address 55 D'amato Lane
Bristol
CT 06010
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1994-10-28
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-02-05

Office Location

Street Address 55 D'Amato Lane
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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Competitor

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City Bristol
Zip Code 06010
License Type Radiographer
License Type + County Radiographer + Bristol

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Robert Provenzano · Provenzano Construction Co 10 Oak Ridge Rd, Monroe, CT 06468 Home Improvement Contractor 2008-05-21 ~ 2008-11-30
Judith A Provenzano · Demasi 333 Vincelette St, Bridgeport, CT 06606 Radiographer 2020-06-01 ~ 2021-05-31
Chas Provenzano Contractors Inc 48 Woodlawn St, Hamden, CT 06517 Home Improvement Contractor 1998-12-15 ~ 1999-11-30
Kathy J Provenzano · Cooper 36 Boot Shop Lane, Monroe, CT 06468 Radiographer 2019-11-01 ~ 2020-10-31
Provenzano Construction Mgmnt Co Inc · Artisan's Design & Builders 312 Rippowam Rd, Ridgefield, CT 06877 Home Improvement Contractor 2009-02-19 ~ 2009-11-30
Robin Feret P.o. Box 151, Southbury, CT 06488 Radiographer 2020-04-01 ~ 2021-03-31
Robin M Purdon 86 Grove St, Putnam, CT 06260-2110 Radiographer 2019-11-01 ~ 2020-10-31
Robin L Jenchel 75 Lenox Dr, Glastonbury, CT 06033 Radiographer 1999-11-01 ~ 2000-12-31
Robin L Herekar 13 Douglas Dr, Danbury, CT 06811-3507 Radiographer 2020-08-01 ~ 2021-07-31

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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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