JEFFREY A WALLACE (Credential# 780293) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is April 25, 1995. The license expiration date date is April 30, 1996. The license status is INACTIVE.
JEFFREY A WALLACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.002096. The credential type is licensed clinical social worker. The effective date is April 25, 1995. The expiration date is April 30, 1996. The business address is Po Box 111, Centerbrook, CT 06409. The current status is inactive.
| Licensee Name | JEFFREY A WALLACE |
| Credential ID | 780293 |
| Credential Number | 58.002096 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
Po Box 111 Centerbrook CT 06409 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1988-09-19 |
| Effective Date | 1995-04-25 |
| Expiration Date | 1996-04-30 |
| Refresh Date | 2009-07-08 |
| Street Address | PO BOX 111 |
| City | CENTERBROOK |
| State | CT |
| Zip Code | 06409 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Savour Cafe & Bakery LLC | 90 Main Street, Centerbrook, CT 06409 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Anna Vitalyevna Shakun | 67 Main Street Po Box 955, Centerbrook, CT 06409 | Architect | 2020-08-01 ~ 2021-07-31 |
| Patricia C Auretta Magora | P.o. Box 66, Centerbrook, CT 06409 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Shaun English | 101 Main Street, Centerbrook, CT 06409 | Marital and Family Therapist | 2020-08-01 ~ 2021-07-31 |
| Sara E Boland | 11 Deep River Rd, Essex, CT 06409 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Amarely Oliver | 25 Ridge Rd., Centerbrook, CT 06409 | Professional Counselor Associate | ~ |
| Howard's Bread LLC | 90 Main St #3 Unit 109, Centerbrook, CT 06409 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Nina C Pagano | 9 Main St, Centerbrook, CT 06409 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| David W Boudinot | 88 Woodland Drive, Centerbrook, CT 06409 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Corrosion Probe Inc | 12 Industrial Park Rd, Centerbrook, CT 06409 | Professional Engineering Corporation | 2020-06-13 ~ 2021-06-12 |
| Find all Licenses in zip 06409 | |||
| City | CENTERBROOK |
| Zip Code | 06409 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + CENTERBROOK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sylvester D Wallace | 3982 Fireoak Dr, Decatur, GA 30032-3884 | Licensed Clinical Social Worker | ~ |
| Valerie Wallace | 2 Crampton Rd, Bronxville, NY 10708-4907 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Wallace M Stacy | 31 Fawn Pl, Wilton, CT 06897-1212 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Diana R. P. Wallace | 135 Garfield Pl Apt 526, Cincinnati, OH 45202-5739 | Licensed Clinical Social Worker | 2011-11-01 ~ 2012-10-31 |
| Gloria J Searson | 37 Wallace Street, West Haven, CT 06576 | Licensed Clinical Social Worker | ~ |
| Seth Albert Wallace | 25 Lyon St, New Haven, CT 06511 | Licensed Clinical Social Worker | 2019-10-28 ~ 2020-08-31 |
| Hillary A Russell · Wallace | 11 Schoolhouse Lane, Haddam, CT 06438 | Licensed Clinical Social Worker | 2016-09-01 ~ 2017-08-31 |
| Samantha C Wallace | 1770 Grand Concourse Apt 14j, Bronx, NY 10457-5569 | Licensed Clinical Social Worker | 2018-08-01 ~ 2019-07-31 |
| Jeffrey P Kerekes | 43 Lyon St, New Haven, CT 06511-4925 | Licensed Clinical Social Worker | 2017-04-01 ~ 2018-03-31 |
| Jeffrey Gagliardi | 5 Dover Ct., Cheshire, CT 06410 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
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| 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).