NICOLE R. FAHERTY
Dental Hygienist


Address: 51 Moody Rd, Lisbon, ME 04250-6001

NICOLE R. FAHERTY (Credential# 1000412) is licensed (Dental Hygienist) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 29, 2016. The license status is INACTIVE.

Business Overview

NICOLE R. FAHERTY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #13.007808. The credential type is dental hygienist. The effective date is March 1, 2015. The expiration date is February 29, 2016. The business address is 51 Moody Rd, Lisbon, ME 04250-6001. The current status is inactive.

Basic Information

Licensee Name NICOLE R. FAHERTY
Credential ID 1000412
Credential Number 13.007808
Credential Type Dental Hygienist
Business Address 51 Moody Rd
Lisbon
ME 04250-6001
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-07-14
Effective Date 2015-03-01
Expiration Date 2016-02-29
Refresh Date 2016-06-03

Office Location

Street Address 51 MOODY RD
City LISBON
State ME
Zip Code 04250-6001

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David W Story 11 Hatch Rd, Lisbon, ME 04250 Professional Engineer 2020-02-01 ~ 2021-01-31
Thomas G Nightingale 40 Beech St, Lisbon, ME 04250 Electrical Unlimited Journeyperson 2004-10-01 ~ 2005-09-30
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Pamela R Ludwig Po Box 123, Lisbon, ME 04250-0123 Respiratory Care Practitioner 2016-07-08 ~ 2017-01-31
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Ramona Gray 95 Newent Rd, Lisbon, CT 06351 Registered Nurse 2020-07-01 ~ 2021-06-30
Stephanie L Dudek 105 Bushnell Road, Lisbon, CT 06351 Hairdresser/cosmetician 2020-09-01 ~ 2022-08-31
Deanna M Tart 217 Preston Allen Rd, Lisbon, CT 06351-7429 Licensed Clinical Social Worker 2020-07-01 ~ 2021-06-30
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Competitor

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City LISBON
Zip Code 04250
License Type Dental Hygienist
License Type + County Dental Hygienist + LISBON

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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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