ELAINE E FAGAN (Credential# 781600) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is March 9, 2004. The license expiration date date is April 30, 2005. The license status is INACTIVE.
ELAINE E FAGAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.003435. The credential type is licensed clinical social worker. The effective date is March 9, 2004. The expiration date is April 30, 2005. The business address is 720 East Broadway, Stratford, CT 06615. The current status is inactive.
| Licensee Name | ELAINE E FAGAN |
| Credential ID | 781600 |
| Credential Number | 58.003435 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
720 East Broadway Stratford CT 06615 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1995-08-25 |
| Effective Date | 2004-03-09 |
| Expiration Date | 2005-04-30 |
| Refresh Date | 2009-07-08 |
| Street Address | 720 EAST BROADWAY |
| City | STRATFORD |
| State | CT |
| Zip Code | 06615 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarath Koun | 323 Bruce Ave, Stratford, CT 06615 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
| Constance Trenske | 50 Birdseye Street, #105a, Stratford, CT 06615 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jennifer Massey | 187 Third Ave, Stratford, CT 06615 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Regina M Golden | 295 2nd Ave, Stratford, CT 06615 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Susan R Leventhal | 265 Second Ave, Stratford, CT 06615 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Danielle M Donfrancesco | 90 Sands Pl, Stratford, CT 06615 | Esthetician | ~ |
| James A Phillips | 735 Broad Street, Stratford, CT 06615 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Debra J Cennamo | 155 Short Beach Rd, Stratford, CT 06615 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Melissa Andrea Escobar-avilez | [email protected], Stratford, CT 06615 | Licensed Practical Nurse | ~ |
| Stephanie Gabon | 1168 Main Street, C6, Stratford, CT 06615 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06615 | |||
| City | STRATFORD |
| Zip Code | 06615 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + STRATFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Terese G Fagan | 26 Bent Rd, Windsor, CT 06095-1631 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Alicia M Fagan | 51 N Main St Ste 3d, Southington, CT 06489-2515 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| John L Fagan | 155 Ciderbrook Dr, Wethersfield, CT 06109 | Licensed Clinical Social Worker | 2002-06-04 ~ 2003-06-30 |
| Stephanie Fagan | 4115 Wisconsin Ave Nw Apt 501, Washington, DC 20016-2852 | Licensed Clinical Social Worker | 2017-07-01 ~ 2018-06-30 |
| Susan M Fagan | 89 South Ridgeland Road, Wallingford, CT 06492 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Kaitlyn M Fagan | 204 Margaret Drive, South Windsor, CT 06074 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Barbara J Kingsbury | 3 Elaine Dr, Moodus, CT 06469-1225 | Licensed Clinical Social Worker | ~ |
| Elaine S Kraus | Po Box 576, Bantam, CT 06750 | Licensed Clinical Social Worker | 2004-12-20 ~ 2005-12-31 |
| Elaine Benevides | 54 Ardmore St, Hamden, CT 06517-1300 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Elaine M Shea Ms | 25 Cross St, Charlestown, RI 02813-1310 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
Please comment or provide details below to improve the information on ELAINE E FAGAN.
| 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).