MARISA M BUCKLEY
Speech and Language Pathologist Temporary Permit


Address: 408 E 92nd St Apt 11a, New York, NY 10128-8106

MARISA M BUCKLEY (Credential# 1056922) is licensed (Speech and Language Pathologist Temporary Permit) with Connecticut Department of Consumer Protection. The license effective date is March 13, 2012. The license expiration date date is March 13, 2013. The license status is INACTIVE.

Business Overview

MARISA M BUCKLEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18-TEMP. The credential type is speech and language pathologist temporary permit. The effective date is March 13, 2012. The expiration date is March 13, 2013. The business address is 408 E 92nd St Apt 11a, New York, NY 10128-8106. The current status is inactive.

Basic Information

Licensee Name MARISA M BUCKLEY
Credential ID 1056922
Credential Number 18-TEMP
Credential Type Speech and Language Pathologist Temporary Permit
Credential SubCategory TEMP
Business Address 408 E 92nd St Apt 11a
New York
NY 10128-8106
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2012-03-13
Expiration Date 2013-03-13
Refresh Date 2013-11-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1039651 18 Speech and Language Pathologist - EXPIRED APPLICATION

Office Location

Street Address 408 E 92ND ST APT 11A
City NEW YORK
State NY
Zip Code 10128-8106

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City NEW YORK
Zip Code 10128
License Type Speech and Language Pathologist Temporary Permit
License Type + County Speech and Language Pathologist Temporary Permit + NEW YORK

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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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