STEPHEN R JACKSON
Psychologist


Address: 89 Maple Ave, Windsor, CT 06095

STEPHEN R JACKSON (Credential# 789351) is licensed (Psychologist) with Connecticut Department of Consumer Protection. The license effective date is August 29, 1996. The license expiration date date is January 17, 1997. The license status is INACTIVE.

Business Overview

STEPHEN R JACKSON is licensed with the Department of Consumer Protection of Connecticut. The credential number is #8.000925. The credential type is psychologist. The effective date is August 29, 1996. The expiration date is January 17, 1997. The business address is 89 Maple Ave, Windsor, CT 06095. The current status is inactive.

Basic Information

Licensee Name STEPHEN R JACKSON
Credential ID 789351
Credential Number 8.000925
Credential Type Psychologist
Business Address 89 Maple Ave
Windsor
CT 06095
Business Type INDIVIDUAL
Status INACTIVE - PRIOR DISCIPLINE
Issue Date 1981-11-19
Effective Date 1996-08-29
Expiration Date 1997-01-17
Refresh Date 2009-07-08

Office Location

Street Address 89 MAPLE AVE
City WINDSOR
State CT
Zip Code 06095

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Anna M Wiedeler 89 Maple Ave, Windsor, CT 06095 Physical Therapist 2009-10-01 ~ 2010-09-30
S T Roy 89 Maple Ave, Windsor, CT 06095 Notary Public Appointment 1994-08-24 ~ 1999-08-31

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Competitor

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City WINDSOR
Zip Code 06095
License Type Psychologist
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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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