MARIE E WALLACE
Speech and Language Pathologist


Address: 77 Worthington Point Rd, Berlin, CT 06037-4026

MARIE E WALLACE (Credential# 698394) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2012. The license expiration date date is December 31, 2012. The license status is INACTIVE.

Business Overview

MARIE E WALLACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.003823. The credential type is speech and language pathologist. The effective date is January 1, 2012. The expiration date is December 31, 2012. The business address is 77 Worthington Point Rd, Berlin, CT 06037-4026. The current status is inactive.

Basic Information

Licensee Name MARIE E WALLACE
Credential ID 698394
Credential Number 18.003823
Credential Type Speech and Language Pathologist
Business Address 77 Worthington Point Rd
Berlin
CT 06037-4026
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2006-12-01
Effective Date 2012-01-01
Expiration Date 2012-12-31
Refresh Date 2013-04-15

Office Location

Street Address 77 WORTHINGTON POINT RD
City BERLIN
State CT
Zip Code 06037-4026

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Competitor

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City BERLIN
Zip Code 06037
License Type Speech and Language Pathologist
License Type + County Speech and Language Pathologist + BERLIN

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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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