MARY C TAVOLACCI
Radiographer


Address: 266 Brighton Ave, Hawthorne, NY 10532-1721

MARY C TAVOLACCI (Credential# 998238) is licensed (Radiographer) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2019. The license status is INACTIVE.

Business Overview

MARY C TAVOLACCI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #28.006033. The credential type is radiographer. The effective date is July 1, 2018. The expiration date is June 30, 2019. The business address is 266 Brighton Ave, Hawthorne, NY 10532-1721. The current status is inactive.

Basic Information

Licensee Name MARY C TAVOLACCI
Credential ID 998238
Credential Number 28.006033
Credential Type Radiographer
Business Address 266 Brighton Ave
Hawthorne
NY 10532-1721
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-06-02
Effective Date 2018-07-01
Expiration Date 2019-06-30
Refresh Date 2019-10-03

Office Location

Street Address 266 BRIGHTON AVE
City HAWTHORNE
State NY
Zip Code 10532-1721

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City HAWTHORNE
Zip Code 10532
License Type Radiographer
License Type + County Radiographer + HAWTHORNE

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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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