KATHALEEN M ELLINGHAM
Radiographer


Address: 711a Dorchester Dr, Lakewood, NJ 08701-6401

KATHALEEN M ELLINGHAM (Credential# 753041) is licensed (Radiographer) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2012. The license expiration date date is April 30, 2013. The license status is INACTIVE.

Business Overview

KATHALEEN M ELLINGHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #28.002252. The credential type is radiographer. The effective date is May 1, 2012. The expiration date is April 30, 2013. The business address is 711a Dorchester Dr, Lakewood, NJ 08701-6401. The current status is inactive.

Basic Information

Licensee Name KATHALEEN M ELLINGHAM
Credential ID 753041
Credential Number 28.002252
Credential Type Radiographer
Business Address 711a Dorchester Dr
Lakewood
NJ 08701-6401
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-12-02
Effective Date 2012-05-01
Expiration Date 2013-04-30
Refresh Date 2013-08-05

Office Location

Street Address 711A DORCHESTER DR
City LAKEWOOD
State NJ
Zip Code 08701-6401

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Competitor

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City LAKEWOOD
Zip Code 08701
License Type Radiographer
License Type + County Radiographer + LAKEWOOD

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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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