EVAN V BURGESS
Emergency Medical Technician


Address: 142 Oak Forest Dr, Manchester, CT 06042-1969

EVAN V BURGESS (Credential# 1185945) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is September 23, 2013. The license expiration date date is June 30, 2019. The license status is INACTIVE.

Business Overview

EVAN V BURGESS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.016724. The credential type is emergency medical technician. The effective date is September 23, 2013. The expiration date is June 30, 2019. The business address is 142 Oak Forest Dr, Manchester, CT 06042-1969. The current status is inactive.

Basic Information

Licensee Name EVAN V BURGESS
Credential ID 1185945
Credential Number 70.016724
Credential Type Emergency Medical Technician
Business Address 142 Oak Forest Dr
Manchester
CT 06042-1969
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-09-23
Effective Date 2013-09-23
Expiration Date 2019-06-30
Refresh Date 2019-09-28

Office Location

Street Address 142 OAK FOREST DR
City MANCHESTER
State CT
Zip Code 06042-1969

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Alissa E Watson 142 Oak Forest Dr, Manchester, CT 06042-1969 Registered Nurse 2020-04-01 ~ 2021-03-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Piotr J Korwek 135 Oak Forest Dr, Manchester, CT 06042-1969 Physical Therapist 2020-07-01 ~ 2021-06-30
Joseph O Bartle 132 Oak Forest Dr, Manchester, CT 06042-1969 Optician 2019-11-01 ~ 2020-10-31

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Jordan M Kaiser 40 Tanner St, Manchester, CT 06042 Registered Nurse 2020-06-01 ~ 2021-05-31
Tandra Gomes 80 Alton St., Manchester, CT 06042 Medication Administration Certification 2020-05-08 ~ 2022-05-07
James Power 16 Lawton Rd., Manchester, CT 06042 Medication Administration Certification 2018-08-03 ~ 2020-08-02
Tierra Amerson 66 Phelps Rd., Manchester, CT 06042 Medication Administration Certification 2018-07-02 ~ 2020-07-01
Lisa A Surdam 22 Greenwood Drive, Manchester, CT 06042 Notary Public Appointment 2020-06-01 ~ 2025-05-31
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Competitor

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City MANCHESTER
Zip Code 06042
License Type Emergency Medical Technician
License Type + County Emergency Medical Technician + MANCHESTER

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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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