CHANTHAKHAM THAMMAVONG
Radiographer


Address: 53 Trident Ave, Winthrop, MA 02152

CHANTHAKHAM THAMMAVONG (Credential# 755909) is licensed (Radiographer) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.

Business Overview

CHANTHAKHAM THAMMAVONG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #28.005123. The credential type is radiographer. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 53 Trident Ave, Winthrop, MA 02152. The current status is active.

Basic Information

Licensee Name CHANTHAKHAM THAMMAVONG
Credential ID 755909
Credential Number 28.005123
Credential Type Radiographer
Business Address 53 Trident Ave
Winthrop
MA 02152
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2007-06-22
Effective Date 2019-10-01
Expiration Date 2020-09-30
Refresh Date 2019-08-02

Office Location

Street Address 53 TRIDENT AVE
City WINTHROP
State MA
Zip Code 02152

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Russell F Hughes 80 Woodside Ave, Winthrop, MA 02152 Professional Engineer & Land Surveyor 1987-01-15 ~ 1988-01-31
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City WINTHROP
Zip Code 02152
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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