DYLAN THOMAS LIEBENOW
Emergency Medical Technician


Address: 30 Chandler Sq Apt 11, Port Jefferson, NY 11777-1675

DYLAN THOMAS LIEBENOW (Credential# 1375172) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is September 21, 2016. The license expiration date date is June 30, 2019. The license status is INACTIVE.

Business Overview

DYLAN THOMAS LIEBENOW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.020937. The credential type is emergency medical technician. The effective date is September 21, 2016. The expiration date is June 30, 2019. The business address is 30 Chandler Sq Apt 11, Port Jefferson, NY 11777-1675. The current status is inactive.

Basic Information

Licensee Name DYLAN THOMAS LIEBENOW
Credential ID 1375172
Credential Number 70.020937
Credential Type Emergency Medical Technician
Business Address 30 Chandler Sq Apt 11
Port Jefferson
NY 11777-1675
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2016-09-21
Effective Date 2016-09-21
Expiration Date 2019-06-30
Refresh Date 2019-09-28

Office Location

Street Address 30 CHANDLER SQ APT 11
City PORT JEFFERSON
State NY
Zip Code 11777-1675

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Cecilia Avila 111 Jones Ave., Port Jefferson, NY 11777 Physician/surgeon 2020-06-01 ~ 2021-05-31
Yu Kan Au 23 Texaco Ave, Port Jefferson, NY 11777 Physician/surgeon 2020-06-01 ~ 2021-05-31
James R Grundhoffer 108 Dogwood Road, Port Jefferson, NY 11777 Professional Engineer 2020-02-01 ~ 2021-01-31
Steve M Nenninger 109 Randall Ave, Port Jefferson, NY 11777 Naturopathic Physician 2019-12-01 ~ 2020-11-30
Matthew Bardram · Jason Witover/prof Chimney Company 101 Peninsula Drive, Port Jefferson, NY 11777 Home Improvement Salesperson 1998-12-24 ~ 1999-11-30
Craig H Rosenberg 112 Cliff Road, Port Jefferson, NY 11777 Physician/surgeon 2016-08-01 ~ 2017-07-31
Christopher C Voorhis 17 Buena Vista Rd, Port Jefferson, NY 11777 Engineer-in-training 2006-03-16 ~ 2016-03-16
Howard L Elman 31 Old Post Rd, Jefferson, NY 11777 Professional Engineer 1989-02-21 ~ 1990-01-31
John A Grillo 1213 Main Street, Pt Jefferson, NY 11777 Architect 2012-08-01 ~ 2013-07-31
Saverio Governale 17 Baylis Ave, Port Jefferson, NY 11777 Electrical Unlimited Contractor ~
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Competitor

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City PORT JEFFERSON
Zip Code 11777
License Type Emergency Medical Technician
License Type + County Emergency Medical Technician + PORT JEFFERSON

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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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