COLLEEN M BACA
Radiographer


Address: 401 Pelican Drive, Groton, CT 06340

COLLEEN M BACA (Credential# 753829) is licensed (Radiographer) with Connecticut Department of Consumer Protection. The license effective date is November 3, 1997. The license expiration date date is October 31, 1998. The license status is INACTIVE.

Business Overview

COLLEEN M BACA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #28.003041. The credential type is radiographer. The effective date is November 3, 1997. The expiration date is October 31, 1998. The business address is 401 Pelican Drive, Groton, CT 06340. The current status is inactive.

Basic Information

Licensee Name COLLEEN M BACA
Credential ID 753829
Credential Number 28.003041
Credential Type Radiographer
Business Address 401 Pelican Drive
Groton
CT 06340
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-10-04
Effective Date 1997-11-03
Expiration Date 1998-10-31
Refresh Date 2009-07-08

Office Location

Street Address 401 PELICAN DRIVE
City GROTON
State CT
Zip Code 06340

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Competitor

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City GROTON
Zip Code 06340
License Type Radiographer
License Type + County Radiographer + GROTON

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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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