KYLEE A BROUILLARD
Radiographer


Address: 65 Cameron Dr, Bristol, CT 06010-9449

KYLEE A BROUILLARD (Credential# 755950) is licensed (Radiographer) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2016. The license expiration date date is May 31, 2017. The license status is INACTIVE.

Business Overview

KYLEE A BROUILLARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #28.005164. The credential type is radiographer. The effective date is June 1, 2016. The expiration date is May 31, 2017. The business address is 65 Cameron Dr, Bristol, CT 06010-9449. The current status is inactive.

Basic Information

Licensee Name KYLEE A BROUILLARD
Credential ID 755950
Credential Number 28.005164
Credential Type Radiographer
Business Address 65 Cameron Dr
Bristol
CT 06010-9449
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-08-17
Effective Date 2016-06-01
Expiration Date 2017-05-31
Refresh Date 2017-09-03

Office Location

Street Address 65 CAMERON DR
City BRISTOL
State CT
Zip Code 06010-9449

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Competitor

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City BRISTOL
Zip Code 06010
License Type Radiographer
License Type + County Radiographer + BRISTOL

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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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