GLORIA A BLANCEAGLE
Psychologist


Address: 21 Maple Ave Apt 1, Lansing, NY 14882-9045

GLORIA A BLANCEAGLE (Credential# 791276) is licensed (Psychologist) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2012. The license expiration date date is June 30, 2013. The license status is INACTIVE.

Business Overview

GLORIA A BLANCEAGLE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #8.002951. The credential type is psychologist. The effective date is July 1, 2012. The expiration date is June 30, 2013. The business address is 21 Maple Ave Apt 1, Lansing, NY 14882-9045. The current status is inactive.

Basic Information

Licensee Name GLORIA A BLANCEAGLE
Credential ID 791276
Credential Number 8.002951
Credential Type Psychologist
Business Address 21 Maple Ave Apt 1
Lansing
NY 14882-9045
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-07-08
Effective Date 2012-07-01
Expiration Date 2013-06-30
Refresh Date 2013-10-08

Office Location

Street Address 21 MAPLE AVE APT 1
City LANSING
State NY
Zip Code 14882-9045

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City LANSING
Zip Code 14882
License Type Psychologist
License Type + County Psychologist + LANSING

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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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