SHANE M HAM
Emergency Medical Responder


Address: 29 Bassett St, Ansonia, CT 06401-2159

SHANE M HAM (Credential# 987342) is licensed (Emergency Medical Responder) with Connecticut Department of Consumer Protection. The license effective date is March 10, 2011. The license expiration date date is January 1, 2014. The license status is INACTIVE.

Business Overview

SHANE M HAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #69.010948. The credential type is emergency medical responder. The effective date is March 10, 2011. The expiration date is January 1, 2014. The business address is 29 Bassett St, Ansonia, CT 06401-2159. The current status is inactive.

Basic Information

Licensee Name SHANE M HAM
Credential ID 987342
Credential Number 69.010948
Credential Type Emergency Medical Responder
Business Address 29 Bassett St
Ansonia
CT 06401-2159
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-03-10
Effective Date 2011-03-10
Expiration Date 2014-01-01
Refresh Date 2014-04-14

Office Location

Street Address 29 BASSETT ST
City ANSONIA
State CT
Zip Code 06401-2159

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Competitor

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City ANSONIA
Zip Code 06401
License Type Emergency Medical Responder
License Type + County Emergency Medical Responder + ANSONIA

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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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