MALLORY A BUCKINGHAM (Credential# 696945) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
MALLORY A BUCKINGHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.002370. The credential type is speech and language pathologist. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 435 Butternut St, Middletown, CT 06457-3579. The current status is active.
| Licensee Name | MALLORY A BUCKINGHAM |
| Credential ID | 696945 |
| Credential Number | 18.002370 |
| Credential Type | Speech and Language Pathologist |
| Business Address |
435 Butternut St Middletown CT 06457-3579 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1995-03-10 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 758435 | 29.002034 | Massage Therapist | 1999-04-30 | 2004-06-15 - 2006-06-30 | INACTIVE |
| Street Address | 435 BUTTERNUT ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3579 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Speech and Language Pathologist |
| License Type + County | Speech and Language Pathologist + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mallory E Stoecker | 500 West Ave Apt 528, Norwalk, CT 06850 | Speech and Language Pathologist | 2020-05-01 ~ 2021-04-30 |
| Mallory Marchetti | 4439 Terrace Ave, Pennsauken, NJ 08109-1629 | Speech and Language Pathologist | 2020-05-04 ~ 2020-11-30 |
| Janet M Daddario | 321 Buckingham Street, Oakville, CT 06779 | Speech and Language Pathologist | 2020-03-01 ~ 2021-02-28 |
| Margaret Smith | 53 Buckingham Dr, Beacon Falls, CT 06403 | Speech and Language Pathologist | 2003-08-25 ~ 2004-10-31 |
| Donna M Gagnon | 1260 Buckingham St, Watertown, CT 06795 | Speech and Language Pathologist | 2020-06-01 ~ 2021-05-31 |
| Rachelle C Simons | 23 Buckingham Circle, Pine Brook, NJ 07058 | Speech and Language Pathologist | 2008-02-21 ~ 2009-02-28 |
| 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 |
| June Roy | 17 Hamilton Rd, Cranston, RI 02910-6006 | Speech and Language Pathologist | ~ |
Please comment or provide details below to improve the information on MALLORY A BUCKINGHAM.
| 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).