JACQUELINE L BOUCHARD
Speech and Language Pathologist


Address: 19 Grimes Lane, Simsbury, CT 06070

JACQUELINE L BOUCHARD (Credential# 696139) 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 APPROVED.

Business Overview

JACQUELINE L BOUCHARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.001413. 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 19 Grimes Lane, Simsbury, CT 06070. The current status is approved.

Basic Information

Licensee Name JACQUELINE L BOUCHARD
Credential ID 696139
Credential Number 18.001413
Credential Type Speech and Language Pathologist
Business Address 19 Grimes Lane
Simsbury
CT 06070
Business Type INDIVIDUAL
Status APPROVED - CURRENT
Active 1
Issue Date 1984-02-06
Effective Date 2020-08-01
Expiration Date 2021-07-31
Refresh Date 2020-06-01

Office Location

Street Address 19 Grimes Lane
City Simsbury
State CT
Zip Code 06070

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Caitlin M Cornier 18 Saxton Brook Drive, Simsbury, CT 06070 Registered Nurse 2020-07-01 ~ 2021-06-30
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Stephen R Birghenti · Simsbury Inn 397 Hopmeadow St, Simsbury, CT 06070 Hotel Liquor (50000 Or More Population) 2019-08-14 ~ 2020-12-13
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Competitor

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City Simsbury
Zip Code 06070
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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