KEITH W CROSBY
Radiographer


Address: 15 Orchard Road, Farmington, CT 06032

KEITH W CROSBY (Credential# 752784) is licensed (Radiographer) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2015. The license expiration date date is November 30, 2016. The license status is INACTIVE.

Business Overview

KEITH W CROSBY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #28.001995. The credential type is radiographer. The effective date is December 1, 2015. The expiration date is November 30, 2016. The business address is 15 Orchard Road, Farmington, CT 06032. The current status is inactive.

Basic Information

Licensee Name KEITH W CROSBY
Credential ID 752784
Credential Number 28.001995
Credential Type Radiographer
Business Address 15 Orchard Road
Farmington
CT 06032
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-11-10
Effective Date 2015-12-01
Expiration Date 2016-11-30
Refresh Date 2017-03-05

Office Location

Street Address 15 ORCHARD ROAD
City FARMINGTON
State CT
Zip Code 06032

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Kimberly A. Caprio Hartford Healthcare Medical Group, Farmington, CT 06032 Physician/surgeon 2020-07-01 ~ 2021-06-30
Stephanie A. Fink 22 Kent Lane, Farmington, CT 06032 Registered Nurse 2020-07-01 ~ 2021-06-30
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Angham Zakko 2 Stratford Rd., Farmington, CT 06032 Architect 2020-08-01 ~ 2021-07-31
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Competitor

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City FARMINGTON
Zip Code 06032
License Type Radiographer
License Type + County Radiographer + FARMINGTON

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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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