REBECCA M WINE
Speech and Language Pathologist


Address: 111 Ledgewood Rd Apt 503, Groton, CT 06340-6604

REBECCA M WINE (Credential# 1083940) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

REBECCA M WINE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.004673. The credential type is speech and language pathologist. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 111 Ledgewood Rd Apt 503, Groton, CT 06340-6604. The current status is active.

Basic Information

Licensee Name REBECCA M WINE
Credential ID 1083940
Credential Number 18.004673
Credential Type Speech and Language Pathologist
Business Address 111 Ledgewood Rd Apt 503
Groton
CT 06340-6604
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-06-04
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-04-01

Other licenses

ID Credential Code Credential Type Issue Term Status
1116926 18-TEMP Speech and Language Pathologist Temporary Permit 2012-08-10 2012-08-10 - 2013-05-15 INACTIVE

Office Location

Street Address 111 LEDGEWOOD RD APT 503
City GROTON
State CT
Zip Code 06340-6604

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Competitor

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City GROTON
Zip Code 06340
License Type Speech and Language Pathologist
License Type + County Speech and Language Pathologist + GROTON

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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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