SUSANNE C KLUCK
Radiographer


Address: 159 Bagsby Hill Ln., Dover, TN 37058

SUSANNE C KLUCK (Credential# 755250) is licensed (Radiographer) with Connecticut Department of Consumer Protection. The license effective date is January 12, 2009. The license expiration date date is February 28, 2010. The license status is INACTIVE.

Business Overview

SUSANNE C KLUCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #28.004464. The credential type is radiographer. The effective date is January 12, 2009. The expiration date is February 28, 2010. The business address is 159 Bagsby Hill Ln., Dover, TN 37058. The current status is inactive.

Basic Information

Licensee Name SUSANNE C KLUCK
Credential ID 755250
Credential Number 28.004464
Credential Type Radiographer
Business Address 159 Bagsby Hill Ln.
Dover
TN 37058
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2004-07-20
Effective Date 2009-01-12
Expiration Date 2010-02-28
Refresh Date 2010-06-04

Office Location

Street Address 159 Bagsby Hill Ln.
City Dover
State TN
Zip Code 37058

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City Dover
Zip Code 37058
License Type Radiographer
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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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