ALEXANDRA K CZUCHTA
Speech and Language Pathologist


Address: 1521 Judah St, San Francisco, CA 94122-1717

ALEXANDRA K CZUCHTA (Credential# 1071536) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2016. The license expiration date date is April 30, 2017. The license status is INACTIVE.

Business Overview

ALEXANDRA K CZUCHTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.004697. The credential type is speech and language pathologist. The effective date is May 1, 2016. The expiration date is April 30, 2017. The business address is 1521 Judah St, San Francisco, CA 94122-1717. The current status is inactive.

Basic Information

Licensee Name ALEXANDRA K CZUCHTA
Credential ID 1071536
Credential Number 18.004697
Credential Type Speech and Language Pathologist
Business Address 1521 Judah St
San Francisco
CA 94122-1717
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-07-02
Effective Date 2016-05-01
Expiration Date 2017-04-30
Refresh Date 2017-08-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1086238 18-TEMP Speech and Language Pathologist Temporary Permit 2012-07-30 2012-07-30 - 2013-06-28 INACTIVE

Office Location

Street Address 1521 JUDAH ST
City SAN FRANCISCO
State CA
Zip Code 94122-1717

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Florence Kwo 1507-23rd Ave, San Francisco, CA 94122 Emergency Medical Technician 2006-06-20 ~ 2008-04-01
Janet R Meyers 1691 44th Ave, San Francisco, CA 94122 Registered Nurse 1994-04-11 ~ 1995-01-31
Theresa L Weber 1727 11th Ave, San Francisco, CA 94122 Physical Therapist 1992-09-24 ~ 1993-08-31
John P Barger 1395 47th Avenue, San Francisco, CA 94122 Registered Nurse 1999-06-22 ~ 2000-07-31
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Diane L Cappiccille 510 Ortega Street, San Francisco, CA 94122 Registered Nurse 2005-11-10 ~ 2006-12-31
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City SAN FRANCISCO
Zip Code 94122
License Type Speech and Language Pathologist
License Type + County Speech and Language Pathologist + SAN FRANCISCO

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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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