DEBRA A FORMAN (Credential# 903442) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2009. The license expiration date date is April 30, 2010. The license status is INACTIVE.
DEBRA A FORMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.004201. The credential type is speech and language pathologist. The effective date is December 1, 2009. The expiration date is April 30, 2010. The business address is 454 Burr Rd, Southbury, CT 06488-2788. The current status is inactive.
| Licensee Name | DEBRA A FORMAN |
| Credential ID | 903442 |
| Credential Number | 18.004201 |
| Credential Type | Speech and Language Pathologist |
| Business Address |
454 Burr Rd Southbury CT 06488-2788 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2009-12-01 |
| Effective Date | 2009-12-01 |
| Expiration Date | 2010-04-30 |
| Refresh Date | 2010-08-02 |
| Street Address | 454 BURR RD |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-2788 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kristen Espitee | 480 Burr Rd, Southbury, CT 06488-2788 | Physical Therapist | 2019-09-01 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jillian Jung | 582 Patriot Rd, Southbury, CT 06488 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Mary E Kohler | 201 Old Highway, Southbury, CT 06488 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Theresa K Bobak | 266b Heritage Village, Southbury, CT 06488 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Kelly Watson | 800 Main Street South Suite 102, Southbury, CT 06488 | Medication Administration Certification | 2018-06-27 ~ 2020-06-26 |
| Mcdonald's Rest #2104 | 44 Division St, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Shirley A Frager | 5 West View Rd, Southbury, CT 06488 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Maureen K Boyd | 77 Shane Drive, Southbury, CT 06488 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| South Britain Oil LLC | 424 Old Field Rd, Southbury, CT 06488 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Won Ju Lee | 995 Old Field Rd, Southbury, CT 06488 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-01-31 |
| Mcdonald's Rest #27001 | 652 New Haven Ave, Derby, CT 06488 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06488 | |||
| City | SOUTHBURY |
| Zip Code | 06488 |
| License Type | Speech and Language Pathologist |
| License Type + County | Speech and Language Pathologist + SOUTHBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jo Ann Q Forman | 110 Griswold Dr, West Hartford, CT 06119 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Daniel E Forman | 47 Richard Sweet Dr, Woodbridge, CT 06525-1128 | Speech and Language Pathologist | 2019-11-01 ~ 2020-10-31 |
| Debra L Gunnip | Po Box 179, Goshen, CT 06756-0179 | Speech and Language Pathologist | 2019-11-01 ~ 2020-10-31 |
| Debra A Shaw | 6 Meadowbrook Rd, Somers, CT 06071 | Speech and Language Pathologist | 2011-11-01 ~ 2012-10-31 |
| Debra A Bulakites | 53 Christopher La, Guilford, CT 06437 | Speech and Language Pathologist | 1997-02-24 ~ 1998-03-31 |
| Debra C Lathrop | 142 Fogarty Ave, Griswold, CT 06351 | Speech and Language Pathologist | 2019-10-01 ~ 2020-09-30 |
| Debra L Labruzzo | 73 Pennsylvania Ave, Springfield, MA 01118 | Speech and Language Pathologist | 2005-09-21 ~ 2006-07-31 |
| Debra A. Duchesneau | 156 Lakeside Dr, Lebanon, CT 06249-2822 | Speech and Language Pathologist | 2020-02-01 ~ 2021-01-31 |
| Debra R Johnson | 213 Crakston Court, Bonaire, GA 31005 | Speech and Language Pathologist | ~ |
| Debra Burnett | 19 Highland Ave, Vernon, CT 06066-3429 | Speech and Language Pathologist | 2019-11-01 ~ 2020-10-31 |
Please comment or provide details below to improve the information on DEBRA A FORMAN.
| 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).