ELIZABETH A.M. PONCHAK
Emergency Medical Technician


Address: 92 Adams St S, Manchester, CT 06040-2604

ELIZABETH A.M. PONCHAK (Credential# 1523376) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2018. The license expiration date date is April 1, 2021. The license status is ACTIVE.

Business Overview

ELIZABETH A.M. PONCHAK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.023462. The credential type is emergency medical technician. The effective date is August 1, 2018. The expiration date is April 1, 2021. The business address is 92 Adams St S, Manchester, CT 06040-2604. The current status is active.

Basic Information

Licensee Name ELIZABETH A.M. PONCHAK
Credential ID 1523376
Credential Number 70.023462
Credential Type Emergency Medical Technician
Business Address 92 Adams St S
Manchester
CT 06040-2604
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-08-01
Effective Date 2018-08-01
Expiration Date 2021-04-01
Refresh Date 2018-08-02

Office Location

Street Address 92 ADAMS ST S
City MANCHESTER
State CT
Zip Code 06040-2604

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Andrea H Clifford 116 Longview Drive, Manchester, CT 06040 Licensed Practical Nurse 2020-09-01 ~ 2021-08-31
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Competitor

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City MANCHESTER
Zip Code 06040
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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