SUSAN M DEBAISE
Optician Apprentice


Address: 17 Tamarac Rd., Wallingford, CT 06492

SUSAN M DEBAISE (Credential# 984095) is licensed (Optician Apprentice) with Connecticut Department of Consumer Protection. The license effective date is July 19, 2007. The license expiration date date is August 31, 2008. The license status is INACTIVE.

Business Overview

SUSAN M DEBAISE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #78. The credential type is optician apprentice. The effective date is July 19, 2007. The expiration date is August 31, 2008. The business address is 17 Tamarac Rd., Wallingford, CT 06492. The current status is inactive.

Basic Information

Licensee Name SUSAN M DEBAISE
Credential ID 984095
Credential Number 78
Credential Type Optician Apprentice
Business Address 17 Tamarac Rd.
Wallingford
CT 06492
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-09-01
Effective Date 2007-07-19
Expiration Date 2008-08-31
Refresh Date 2011-02-07

Office Location

Street Address 17 Tamarac Rd.
City Wallingford
State CT
Zip Code 06492

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Michele Ruggiero 26 Leigus Road, Wallingford, CT 06492 Radiographer 2020-07-01 ~ 2021-06-30
Dianna K Ball 104 Simpson Ave, Wallingford, CT 06492 Speech and Language Pathologist 2020-08-01 ~ 2021-07-31
Ann Marie Richardson 20 Mohawk Drive, Wallingford, CT 06492 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City Wallingford
Zip Code 06492
License Type Optician Apprentice
License Type + County Optician Apprentice + Wallingford

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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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