JENALIN D SAN AGUSTIN
Emergency Medical Technician


Address: 50 Puritan Ln, Stamford, CT 06906-1615

JENALIN D SAN AGUSTIN (Credential# 954634) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is September 27, 2010. The license expiration date date is April 1, 2013. The license status is INACTIVE.

Business Overview

JENALIN D SAN AGUSTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.012726. The credential type is emergency medical technician. The effective date is September 27, 2010. The expiration date is April 1, 2013. The business address is 50 Puritan Ln, Stamford, CT 06906-1615. The current status is inactive.

Basic Information

Licensee Name JENALIN D SAN AGUSTIN
Credential ID 954634
Credential Number 70.012726
Credential Type Emergency Medical Technician
Business Address 50 Puritan Ln
Stamford
CT 06906-1615
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-09-27
Effective Date 2010-09-27
Expiration Date 2013-04-01
Refresh Date 2013-07-10

Office Location

Street Address 50 PURITAN LN
City STAMFORD
State CT
Zip Code 06906-1615

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Competitor

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City STAMFORD
Zip Code 06906
License Type Emergency Medical Technician
License Type + County Emergency Medical Technician + STAMFORD

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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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