PHYLLIS A CHAMPAGNE (Credential# 752030) is licensed (Radiographer) 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.
PHYLLIS A CHAMPAGNE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #28.001238. The credential type is radiographer. The effective date is January 1, 2012. The expiration date is December 31, 2012. The business address is 114 Warner Street, Groton, CT 06340. The current status is inactive.
| Licensee Name | PHYLLIS A CHAMPAGNE |
| Doing Business As | LAKE JANSEN |
| Credential ID | 752030 |
| Credential Number | 28.001238 |
| Credential Type | Radiographer |
| Business Address |
114 Warner Street Groton CT 06340 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1994-10-28 |
| Effective Date | 2012-01-01 |
| Expiration Date | 2012-12-31 |
| Refresh Date | 2013-04-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 708378 | 20.013896 | Hairdresser/Cosmetician | 1964-09-29 | 1993-01-25 - 1993-12-31 | INACTIVE |
| Street Address | 114 WARNER STREET |
| City | GROTON |
| State | CT |
| Zip Code | 06340 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert A Champagne | 114 Warner Street, Groton, CT 06340 | Notary Public Appointment | 2011-05-01 ~ 2016-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Swatiben R. Patel | 81 Charlton Lane, Groton, CT 06340 | Pharmacy Technician | 2020-06-26 ~ 2021-03-31 |
| Susan E Mammone | 39 Chestnut Hill Sq, Groton, CT 06340 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Jennifer L Lundie | 302b Meridian Street, Groton, CT 06340 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Jennifer Gauthier | 55 Fieldside Drive # B, Groton, CT 06340 | Master's Level Social Worker - Temporary Permit | ~ |
| Anthony Di Lullo Md | Thameside Ob/gyn Centre, Groton, CT 06340 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Carrien Williams | 186 Mirra Dr, Groton, CT 06340 | Nail Technician | ~ |
| Mustapha Kemal Md | 61 Leeward Lane, Groton, CT 06340 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Subway #309 | 967 Poquonnock Rd, Groton, CT 06340 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Kathlene M Hunt | 75 Pleasant Street, Groton, CT 06340 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Paul A Morosky | 2 Cross Street, Groton, CT 06340 | Distribution System Operator - Class I | 2020-04-01 ~ 2023-03-31 |
| Find all Licenses in zip 06340 | |||
| City | GROTON |
| Zip Code | 06340 |
| License Type | Radiographer |
| License Type + County | Radiographer + GROTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Phyllis R Champagne | 39 Beechwood Blvd, Plainfield, CT 06374 | Licensed Practical Nurse | 2020-01-01 ~ 2020-12-31 |
| Rejean M Champagne · Champagne & Son Inc | 120 Eluree St, Manchester, CT 06040 | Home Improvement Contractor | ~ 1995-08-01 |
| Champagne Collet N/a Champagne | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2018-04-06 ~ 2021-04-05 |
| Phyllis W Delfino · Watt | 74 Peacedale St, Bristol, CT 06010 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Phyllis Pacelli · Barber | 138 Meadowside Rd, Milford, CT 06460 | Radiographer | 1997-01-27 ~ 1997-09-30 |
| Phyllis L Dumond | 124 Racketts Road, Westtown, NY 10998 | Radiographer | 2016-09-01 ~ 2017-08-31 |
| Phyllis J Hanna | 4639 N. Clark, Fresno, CA 93726 | Radiographer | 2002-05-01 ~ 2003-05-31 |
| Phyllis L Girard · Lescarbeau | 142 Loomis St, Manchester, CT 06040 | Radiographer | 2002-02-21 ~ 2003-04-30 |
| Phyllis Samor · Noel | 423 Navajo Loop, Shelton, CT 06484 | Radiographer | 2005-06-14 ~ 2006-07-31 |
| Kathleen M Fraser Champagne | 2 Autumn Dr, Easthampton, MA 01027-2578 | Radiographer | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on PHYLLIS A CHAMPAGNE.
| 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).