MARK A EDINBERG
Psychologist


Address: 145 Marne Ave, Fairfield, CT 06825-1752

MARK A EDINBERG (Credential# 789215) is licensed (Psychologist) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2016. The license expiration date date is August 31, 2017. The license status is INACTIVE.

Business Overview

MARK A EDINBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #8.000748. The credential type is psychologist. The effective date is September 1, 2016. The expiration date is August 31, 2017. The business address is 145 Marne Ave, Fairfield, CT 06825-1752. The current status is inactive.

Basic Information

Licensee Name MARK A EDINBERG
Credential ID 789215
Credential Number 8.000748
Credential Type Psychologist
Business Address 145 Marne Ave
Fairfield
CT 06825-1752
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1979-06-15
Effective Date 2016-09-01
Expiration Date 2017-08-31
Refresh Date 2017-12-04

Office Location

Street Address 145 MARNE AVE
City FAIRFIELD
State CT
Zip Code 06825-1752

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City FAIRFIELD
Zip Code 06825
License Type Psychologist
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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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