EDYTHE O BURDICK
Speech and Language Pathologist


Address: 64 Five Fields Rd, Madison, CT 06443

EDYTHE O BURDICK (Credential# 696025) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is January 15, 1997. The license expiration date date is February 28, 1998. The license status is INACTIVE.

Business Overview

EDYTHE O BURDICK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.001247. The credential type is speech and language pathologist. The effective date is January 15, 1997. The expiration date is February 28, 1998. The business address is 64 Five Fields Rd, Madison, CT 06443. The current status is inactive.

Basic Information

Licensee Name EDYTHE O BURDICK
Credential ID 696025
Credential Number 18.001247
Credential Type Speech and Language Pathologist
Business Address 64 Five Fields Rd
Madison
CT 06443
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1982-04-13
Effective Date 1997-01-15
Expiration Date 1998-02-28
Refresh Date 2009-07-08

Office Location

Street Address 64 FIVE FIELDS RD
City MADISON
State CT
Zip Code 06443

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City MADISON
Zip Code 06443
License Type Speech and Language Pathologist
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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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