FREDERICK L RANDOLPH (Credential# 934820) is licensed (Emergency Medical Technician) with Connecticut Department of Consumer Protection. The license effective date is June 11, 2010. The license expiration date date is April 1, 2013. The license status is INACTIVE.
FREDERICK L RANDOLPH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #70.012257. The credential type is emergency medical technician. The effective date is June 11, 2010. The expiration date is April 1, 2013. The business address is 55 Clinton St, Manchester, CT 06040-6129. The current status is inactive.
Licensee Name | FREDERICK L RANDOLPH |
Credential ID | 934820 |
Credential Number | 70.012257 |
Credential Type | Emergency Medical Technician |
Business Address |
55 Clinton St Manchester CT 06040-6129 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2010-06-11 |
Effective Date | 2010-06-11 |
Expiration Date | 2013-04-01 |
Refresh Date | 2013-07-10 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
822134 | 69.004711 | Emergency Medical Responder | 2004-09-23 | 2004-09-23 - 2006-04-01 | INACTIVE |
Street Address | 55 CLINTON ST |
City | MANCHESTER |
State | CT |
Zip Code | 06040-6129 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mary Fosuah Nketia | 61 Cougar Drive, Manchester, CT 06040 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
New Seasons Inc. | 164 East Center Street, Manchester, CT 06040 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Kaylen Lam | 60 Chlistone Lane, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Matilde Altamirano | 415 Gardner Street, Manchester, CT 06040 | Nail Technician | 2020-06-27 ~ 2022-04-30 |
Meilan Meilan Chen | 174 Middle Tpke, Manchester, CT 06040 | Nail Technician | ~ |
Prince Acheampong | 32 Bigelow Street, Manchester, CT 06040 | Notary Public Appointment | ~ |
Erin C Boyle | 470 Porter Street, Manchester, CT 06040 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Dejone Mitchell | 64 Ruby Dr Apt. P, Manchester, CT 06040 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
Andrea H Clifford | 116 Longview Drive, Manchester, CT 06040 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
Tabia Thornton-bey | 103 Walek Farms Road, Manchester, CT 06040 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 06040 |
City | MANCHESTER |
Zip Code | 06040 |
License Type | Emergency Medical Technician |
License Type + County | Emergency Medical Technician + MANCHESTER |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Matthew E Charette | 83 Randolph Ave, Meriden, CT 06451-4114 | Emergency Medical Technician | ~ |
Louis Bartolotia | 743 Randolph Rd, Middletown, CT 06457-5329 | Emergency Medical Technician | 2007-12-14 ~ 2014-04-01 |
Jessica Scalesse | 719 Randolph Rd, Middletown, CT 06457-5329 | Emergency Medical Technician | 2014-10-27 ~ 2017-07-01 |
Wade T Moss | 445 Randolph Rd, Middletown, CT 06457-5607 | Emergency Medical Technician | 2020-01-01 ~ 2022-12-31 |
Alexander Goldstein | 31 Randolph Ave, Waterbury, CT 06710-1619 | Emergency Medical Technician | 2013-03-26 ~ 2016-01-01 |
Alizah D Sutton | 82 Randolph Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
Robert J Mcloughlin | 11 Quail Run, Randolph, NJ 07869-2826 | Emergency Medical Technician | 2010-11-23 ~ 2013-10-01 |
Geoffrey F Defrancesco | 445 Randolph Rd, Middletown, CT 06457-5607 | Emergency Medical Technician | 2017-04-25 ~ 2020-04-01 |
Kyle N Pezza | 10 Randolph St, Cranston, RI 02920-8314 | Emergency Medical Technician | 2012-09-11 ~ 2015-07-01 |
Peter J Pawchak | 32 Springhill Road, Randolph, NJ 07869 | Emergency Medical Technician | 2006-09-18 ~ 2008-07-01 |
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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).