MARIA E PHONCHAMREUN
Radiographer


Address: 30 Underhill Rd. N., Poughquag, NY 12570

MARIA E PHONCHAMREUN (Credential# 755386) is licensed (Radiographer) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2014. The license status is INACTIVE.

Business Overview

MARIA E PHONCHAMREUN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #28.004600. The credential type is radiographer. The effective date is March 1, 2013. The expiration date is February 28, 2014. The business address is 30 Underhill Rd. N., Poughquag, NY 12570. The current status is inactive.

Basic Information

Licensee Name MARIA E PHONCHAMREUN
Credential ID 755386
Credential Number 28.004600
Credential Type Radiographer
Business Address 30 Underhill Rd. N.
Poughquag
NY 12570
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-02-01
Effective Date 2013-03-01
Expiration Date 2014-02-28
Refresh Date 2014-06-09

Office Location

Street Address 30 Underhill Rd. N.
City Poughquag
State NY
Zip Code 12570

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Competitor

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City Poughquag
Zip Code 12570
License Type Radiographer
License Type + County Radiographer + Poughquag

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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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