SIERRA SUPRIN (Credential# 1303907) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
SIERRA SUPRIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.005393. The credential type is speech and language pathologist. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 53 Lake Shore Boulevard, Stafford, CT 06076. The current status is active.
| Licensee Name | SIERRA SUPRIN |
| Credential ID | 1303907 |
| Credential Number | 18.005393 |
| Credential Type | Speech and Language Pathologist |
| Business Address |
53 Lake Shore Boulevard Stafford CT 06076 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-03 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1379108 | 18-TEMP | Speech and Language Pathologist Temporary Permit | 2016-09-14 | 2016-08-29 - 2017-05-29 | INACTIVE |
| 1308375 | 18-TEMP | Speech and Language Pathologist Temporary Permit | 2015-09-17 | 2015-08-24 - 2016-08-24 | INACTIVE |
| Street Address | 53 Lake Shore Boulevard |
| City | Stafford |
| State | CT |
| Zip Code | 06076 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacia M Yarrows | 105 Tolland Ave, Stafford Springs, CT 06076 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Ct Canine Solutions | 403 Bigelow Hollow Rd, Union, CT 06076 | Training Facility | 2020-06-23 ~ 2021-12-31 |
| Jill A Bower | 134 W Stafford Road, Stafford Springs, CT 06076 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Marcia B Lombardo | 53 A East Main Street, Stafford Springs, CT 06076 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Linsley S Mordasky | 40 Dunay Road, Stafford Springs, CT 06076 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy L Kapplan · Zembko | 2 Webster Road, Union, CT 06076 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Daves Soda and Pet City | 97-cw Stafford Rd, Stafford Springs, CT 06076 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Connecticut Ready Mix LLC | 10 Meadow Ln 7 Yard Plant, Stafford Springs, CT 06076 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Stafford Springs Enterprises | 55 West St, Stafford Springs, CT 06076 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Melissa J Lewis | 357 Monson Road, Stafford Springs, CT 06076 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06076 | |||
| City | Stafford |
| Zip Code | 06076 |
| License Type | Speech and Language Pathologist |
| License Type + County | Speech and Language Pathologist + Stafford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carissa D Hunter | Josephine Chin, Speech Pathologist, Greenwich, CT 06830 | Speech and Language Pathologist | 2006-10-17 ~ 2007-06-30 |
| Lois B Cook | Speech & Comm Prfls, Amawalk, NY 10501 | Speech and Language Pathologist | 2004-12-17 ~ 2005-12-31 |
| Alida Engel | Center for Speech & Learning, New Haven, CT 06515 | Speech and Language Pathologist | 2020-05-01 ~ 2021-04-30 |
| Samantha Greco | 4 Gem Dr, Ellington, CT 06029-3906 | Speech and Language Pathologist | ~ |
| Jan Stuber | P.o. Box 269, New Albany, OH 043054 | Speech and Language Pathologist | 2008-09-26 ~ 2009-11-30 |
| Eileen E Russo | P.o. Box 819, Northbridge, MA 01534 | Speech and Language Pathologist | ~ |
| Ann T Thorne | Po Box 276, Roxbury, CT 06783-0276 | Speech and Language Pathologist | 2018-06-01 ~ 2019-05-31 |
| Beatrice N. Soi | 143 Limestone Rd, Ridgefield, CT 06877-2615 | Speech and Language Pathologist | ~ |
| Renee Cayer | 111 Elm St, Monroe, CT 06468-2217 | Speech and Language Pathologist | ~ |
| Therese May | 8 Jay Cir, Windsor, CT 06095-2443 | Speech and Language Pathologist | 2019-10-04 ~ 2020-07-31 |
Please comment or provide details below to improve the information on SIERRA SUPRIN.
| 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).